Columbia St. Mary's Hospital Ozaukee
13111 N Port Washington Rd
Mequon, WI 53097
262-243-7300

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal Delivery$1,985$913$536
3720Blood Infection/Septicemia$14,959$6,881$4,039
4302Knee Replacement$45,453$20,908$12,272
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,157$6,972$4,092
7301Hip Replacement$48,731$22,416$13,157
8139Pneumonia$12,454$5,729$3,363
9751Psychoses$9,635$4,432$2,601
10753Bipolar Disorders$10,766$4,952$2,907
11140Chronic Obstructive Pulmonary Disease$6,315$2,905$1,705
12775Alcohol Abuse/Dependence$8,147$3,748$2,200
13201Heart Abnormal Rhythm and Conduction Disorders$13,773$6,336$3,719
14383Cellulitis and Other Bacterial Skin Infections$8,916$4,101$2,407
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,979$8,270$4,854
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$11,846$5,449$3,198
19221Major Bowel Procedures$36,271$16,685$9,793
20174Angioplasty with Heart Attack$54,954$25,279$14,838
21754Depression$5,931$2,728$1,601
22247Intestinal Obstruction without Surgery$12,331$5,672$3,329
23750Schizophrenia$12,347$5,680$3,334
24420Diabetes$14,999$6,900$4,050
25282Disorders of Pancreas Except Malignancy$13,015$5,987$3,514
26254Other Digestive System Diagnoses$15,994$7,357$4,318
27812Poisoning of Medicinal Agents$7,967$3,665$2,151
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053Seizure$13,060$6,008$3,526
30137Respiratory Infections and Inflammations$27,363$12,587$7,388
31173Other Vascular Procedures$50,776$23,357$13,710
32249Gastroenteritis$16,046$7,381$4,332
33190Circulatory Disorders with Heart Attack$13,607$6,259$3,674
34134Pulmonary Embolism$12,695$5,840$3,428
35308Hip/Thigh Surgery with Trauma Diagnosis$36,956$17,000$9,978
36263Laparoscopic Cholecystectomy$28,294$13,015$7,639
37315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
38244Diverticulitis & Diverticulosis$13,456$6,190$3,633
39710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
40773Opioid Abuse/Dependence$10,594$4,873$2,860
41860RehabilitationNRNRNR
42175Angioplasty without Heart Attack$57,438$26,421$15,508
43861Signs & Symptoms$11,990$5,515$3,237
44425Other Electrolyte Disorders$8,364$3,847$2,258
45347Other Back/Neck Disorders, Fractures, Injuries$15,004$6,902$4,051
46241Peptic Ulcer/Gastritis$17,576$8,085$4,746
47253Other and Unspecified Gastrointestinal Hemorrhage$20,838$9,585$5,626
48313Other Knee/Lower Leg Surgery$36,501$16,790$9,855
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,517$12,198$7,160
50351Other Musculoskeletal System and Connective Tissue Diagnoses$18,005$8,282$4,861
51058Other Disorders of Nervous System$17,821$8,198$4,812
52248Major G.I. Bacterial Infections$14,481$6,661$3,910
53024Extracranial Vascular Procedures$21,588$9,930$5,829
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,806$8,191$4,808
56141Asthma$16,906$7,777$4,565
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic Infections$11,983$5,512$3,235
59321Upper Spinal FusionNRNRNR
60197Peripheral and Other Vascular Disorders$14,702$6,763$3,970
61021Craniotomy Except For Trauma$54,633$25,131$14,751
62225Appendectomy$32,571$14,983$8,794
63566Other Antepartum DiagnosesNRNRNR
64055Head trauma w coma >1 hr or hemorrhage$12,150$5,589$3,281
65755Neuroses Other Than Depression$7,484$3,443$2,021
66052Nontraumatic stupor & coma$10,971$5,047$2,962
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$34,078$15,676$9,201
68163Heart Valve Procedures without Cardiac Catheterization$136,320$62,707$36,806
69144Respiratory System Signs, Symptoms and Minor Diagnoses$14,170$6,518$3,826
70143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
71422Hypovolemia$9,017$4,148$2,435
72204Fainting and Collapse$26,208$12,056$7,076
73951Moderately Extensive Procedure Unrelated to Diagnosis$31,330$14,412$8,459
74639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR
75756Acute Adjust React Psychosocial Dysfunction$7,676$3,531$2,073

NR = No Cases Reported

This report was produced in part by using computer software created, owned and licensed by the 3M Company. All copyrights in and to the 3M™ APR DRG Software, and to the 3M™ APR DRG Classification System(s) (including the selection, coordination and arrangement of all codes) are owned by 3M. All rights reserved.
Charges for 75 Most Common Types of Outpatient Surgical Procedures in Wisconsin:  April 2015 - March 2016
 With No Other ProceduresWith 1 or More Additional Procedures
Principal ProcedureMedian ChargeAverage Commercial Insurance PaymentAverage Medicare Insurance Payment*Median ChargeAverage Commercial Insurance PaymentAverage Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 66984)$10,522$4,840$2,841$11,751$5,405$3,173
Colonoscopy and Biopsy 45380)$5,224$2,403$1,411$9,459$4,351$2,554
Upper GI Endoscopy with Biopsy 43239)$6,118$2,814$1,652$8,191$3,768$2,212
Lesion Removal Colonoscopy by Snare Technique 45385)$5,239$2,410$1,415$6,456$2,970$1,743
Diagnostic Colonoscopy 45378)$4,818$2,216$1,301$9,224$4,243$2,491
Injection into Lumbar or Sacral Area, Single Level 64483)$1,839$846$497$2,197$1,011$593
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,217$1,940$1,139$4,606$2,119$1,244
Drain/Inject Major Joint or Bursa 20610)$1,522$700$411$34,917$16,062$9,427
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,804$2,210$1,297$9,637$4,433$2,602
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,810$2,212$1,299$9,733$4,477$2,628
Carpal Tunnel Surgery 64721)$10,007$4,603$2,702NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,088$10,160$5,964$23,749$10,925$6,412
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,258$1,958$1,150$5,602$2,577$1,513
Uppr GI Endoscopy- Diagnostic 43235)$5,679$2,612$1,533$8,428$3,877$2,276
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,180$2,383$1,399$7,774$3,576$2,099
Left Heart Artery/Ventricle Angiography 93458)$24,428$11,237$6,595NRNRNR
Creation of Eardrum Opening 69436)$7,824$3,599$2,113$8,586$3,949$2,318
Unlisted Dental Surgery Procedure 41899)$10,230$4,706$2,762NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,037$1,397$820$4,692$2,158$1,267
Laparoscopic Cholecystectomy 47562)$23,931$11,008$6,461$29,489$13,565$7,962
After Cataract Laser Surgery 66821)$1,456$670$393$1,479$680$399
ABD Paracentesis w/Imaging 49083)$2,403$1,105$649$10,974$5,048$2,963
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,909$2,258$1,325$10,317$4,746$2,786
Cataract Surgery- Complex 66982)$11,479$5,280$3,099$10,578$4,866$2,856
Removal of Tonsils And Adenoids - < Age 12 42820)$13,201$6,073$3,564$12,333$5,673$3,330
Arthroscopic Rotator Cuff Repair 29827)$25,240$11,611$6,815$28,326$13,030$7,648
Hysteroscopy with Biopsy 58558)$10,857$4,994$2,931$22,087$10,160$5,963
Esophageal Endoscopy with Dilation 43249)$6,487$2,984$1,752$7,101$3,266$1,917
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,175$1,001$587$6,962$3,203$1,880
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,534$6,226$3,654$13,264$6,101$3,581
Incision of Finger Tendon Sheath 26055)$4,092$1,882$1,105NRNRNR
Unlisted Cystourethoscopy 52000)$9,470$4,356$2,557$8,525$3,922$2,302
Cystourethroscopy with Lithotripsy and Stent 52356)$33,176$15,261$8,958$33,225$15,283$8,971
Laparoscopic Hernia Repair - Initial 49650)$14,953$6,878$4,037$19,307$8,881$5,213
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,371$5,691$3,340$25,951$11,937$7,007
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,438$9,862$5,788$22,014$10,126$5,944
Uppr GI Endoscopy with Guide Wire 43248)$6,399$2,944$1,728$8,383$3,856$2,263
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,180$10,203$5,989$30,725$14,134$8,296
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,854$1,773$1,041$4,037$1,857$1,090
Laparoscopic Appendectomy 44970)$28,786$13,242$7,772$20,648$9,498$5,575
Destruction of Benign Lesions up to 14 Lesions 17110)$8,538$3,927$2,305NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,792$2,204$1,294$9,940$4,572$2,684
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$891$410$241NRNRNR
Removal of Tonsils 42826)$11,210$5,156$3,027$11,096$5,104$2,996
Cystourethroscopy with Stent 52332)$11,821$5,438$3,192$13,908$6,398$3,755
Repair of Nasal Septum 30520)$17,852$8,212$4,820$12,749$5,864$3,442
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,735$13,678$8,028NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$31,477$14,480$8,499$32,093$14,763$8,665
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,423$6,175$3,624$16,780$7,719$4,530
Laparoscopy - Removal of Adnexal Structures 58661)$27,733$12,757$7,488NRNRNR
Mastectomy, Partial 19301)$13,294$6,115$3,589$26,980$12,411$7,285
Needle Biopsy of Liver 47000)$5,545$2,551$1,497NRNRNR
Debridement Skin/Tissue 11042)$606$279$164$1,059$487$286
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,425$16,755$9,835$41,710$19,187$11,262
Coronary Artery Angio S&I 93454)$37,681$17,333$10,174NRNRNR
Aspirate Pleura with Imaging 32555)$2,096$964$566NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$12,407$5,707$3,350NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$338$155$91$541$249$146
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$14,422$6,634$3,894
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$26,183$12,044$7,069NRNRNR
Bone Marrow Biopsy 38221)$10,219$4,701$2,759$10,567$4,861$2,853
Correction of Bunion 28296)$13,705$6,304$3,700$41,911$19,279$11,316
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$10,816$4,975$2,920
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$8,162$3,755$2,204$7,085$3,259$1,913
Removal of Central Venous Device w Port or Pump 36590)$863$397$233NRNRNR
Information about quality and safety of care for Columbia St. Mary's Hospital Ozaukee may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.