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$814$615
3720Blood Infection/Septicemia$14,959$6,133$4,637
4302Knee Replacement$45,453$18,636$14,090
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,157$6,214$4,699
7301Hip Replacement$48,731$19,980$15,107
8139Pneumonia$12,454$5,106$3,861
9751Psychoses$9,635$3,950$2,987
10753Bipolar Disorders$10,766$4,414$3,337
11140Chronic Obstructive Pulmonary Disease$6,315$2,589$1,958
12775Alcohol Abuse/Dependence$8,147$3,340$2,526
13201Heart Abnormal Rhythm and Conduction Disorders$13,773$5,647$4,270
14383Cellulitis and Other Bacterial Skin Infections$8,916$3,656$2,764
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,979$7,371$5,573
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$11,846$4,857$3,672
19221Major Bowel Procedures$36,271$14,871$11,244
20174Angioplasty with Heart Attack$54,954$22,531$17,036
21754Depression$5,931$2,432$1,839
22247Intestinal Obstruction without Surgery$12,331$5,056$3,823
23750Schizophrenia$12,347$5,062$3,828
24420Diabetes$14,999$6,150$4,650
25282Disorders of Pancreas Except Malignancy$13,015$5,336$4,035
26254Other Digestive System Diagnoses$15,994$6,558$4,958
27812Poisoning of Medicinal Agents$7,967$3,266$2,470
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053Seizure$13,060$5,355$4,049
30137Respiratory Infections and Inflammations$27,363$11,219$8,483
31173Other Vascular Procedures$50,776$20,818$15,741
32249Gastroenteritis$16,046$6,579$4,974
33190Circulatory Disorders with Heart Attack$13,607$5,579$4,218
34134Pulmonary Embolism$12,695$5,205$3,935
35308Hip/Thigh Surgery with Trauma Diagnosis$36,956$15,152$11,456
36263Laparoscopic Cholecystectomy$28,294$11,601$8,771
37315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
38244Diverticulitis & Diverticulosis$13,456$5,517$4,171
39710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
40773Opioid Abuse/Dependence$10,594$4,344$3,284
41860RehabilitationNRNRNR
42175Angioplasty without Heart Attack$57,438$23,550$17,806
43861Signs & Symptoms$11,990$4,916$3,717
44425Other Electrolyte Disorders$8,364$3,429$2,593
45347Other Back/Neck Disorders, Fractures, Injuries$15,004$6,152$4,651
46241Peptic Ulcer/Gastritis$17,576$7,206$5,449
47253Other and Unspecified Gastrointestinal Hemorrhage$20,838$8,544$6,460
48313Other Knee/Lower Leg Surgery$36,501$14,965$11,315
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,517$10,872$8,220
50351Other Musculoskeletal System and Connective Tissue Diagnoses$18,005$7,382$5,582
51058Other Disorders of Nervous System$17,821$7,307$5,525
52248Major G.I. Bacterial Infections$14,481$5,937$4,489
53024Extracranial Vascular Procedures$21,588$8,851$6,692
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,806$7,300$5,520
56141Asthma$16,906$6,931$5,241
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic Infections$11,983$4,913$3,715
59321Upper Spinal FusionNRNRNR
60197Peripheral and Other Vascular Disorders$14,702$6,028$4,558
61021Craniotomy Except For Trauma$54,633$22,400$16,936
62225Appendectomy$32,571$13,354$10,097
63566Other Antepartum DiagnosesNRNRNR
64055Head trauma w coma >1 hr or hemorrhage$12,150$4,982$3,767
65755Neuroses Other Than Depression$7,484$3,068$2,320
66052Nontraumatic stupor & coma$10,971$4,498$3,401
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$34,078$13,972$10,564
68163Heart Valve Procedures without Cardiac Catheterization$136,320$55,891$42,259
69144Respiratory System Signs, Symptoms and Minor Diagnoses$14,170$5,810$4,393
70143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
71422Hypovolemia$9,017$3,697$2,795
72204Fainting and Collapse$26,208$10,745$8,124
73951Moderately Extensive Procedure Unrelated to Diagnosis$31,330$12,845$9,712
74639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR
75756Acute Adjust React Psychosocial Dysfunction$7,676$3,147$2,380

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$4,314$3,262$11,751$4,818$3,643
Colonoscopy and Biopsy 45380)$5,224$2,142$1,620$9,459$3,878$2,932
Upper GI Endoscopy with Biopsy 43239)$6,118$2,509$1,897$8,191$3,358$2,539
Lesion Removal Colonoscopy by Snare Technique 45385)$5,239$2,148$1,624$6,456$2,647$2,001
Diagnostic Colonoscopy 45378)$4,818$1,976$1,494$9,224$3,782$2,860
Injection into Lumbar or Sacral Area, Single Level 64483)$1,839$754$570$2,197$901$681
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,217$1,729$1,307$4,606$1,889$1,428
Drain/Inject Major Joint or Bursa 20610)$1,522$624$472$34,917$14,316$10,824
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,804$1,969$1,489$9,637$3,951$2,988
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,810$1,972$1,491$9,733$3,991$3,017
Carpal Tunnel Surgery 64721)$10,007$4,103$3,102NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,088$9,056$6,847$23,749$9,737$7,362
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,258$1,746$1,320$5,602$2,297$1,737
Uppr GI Endoscopy- Diagnostic 43235)$5,679$2,328$1,760$8,428$3,456$2,613
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,180$2,124$1,606$7,774$3,187$2,410
Left Heart Artery/Ventricle Angiography 93458)$24,428$10,015$7,573NRNRNR
Creation of Eardrum Opening 69436)$7,824$3,208$2,426$8,586$3,520$2,662
Unlisted Dental Surgery Procedure 41899)$10,230$4,194$3,171NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,037$1,245$942$4,692$1,924$1,454
Laparoscopic Cholecystectomy 47562)$23,931$9,812$7,419$29,489$12,091$9,142
After Cataract Laser Surgery 66821)$1,456$597$451$1,479$606$458
ABD Paracentesis w/Imaging 49083)$2,403$985$745$10,974$4,499$3,402
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,909$2,013$1,522$10,317$4,230$3,198
Cataract Surgery- Complex 66982)$11,479$4,706$3,558$10,578$4,337$3,279
Removal of Tonsils And Adenoids - < Age 12 42820)$13,201$5,413$4,092$12,333$5,056$3,823
Arthroscopic Rotator Cuff Repair 29827)$25,240$10,348$7,824$28,326$11,614$8,781
Hysteroscopy with Biopsy 58558)$10,857$4,451$3,366$22,087$9,056$6,847
Esophageal Endoscopy with Dilation 43249)$6,487$2,660$2,011$7,101$2,911$2,201
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$2,175$892$674$6,962$2,854$2,158
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,534$5,549$4,195$13,264$5,438$4,112
Incision of Finger Tendon Sheath 26055)$4,092$1,678$1,268NRNRNR
Unlisted Cystourethoscopy 52000)$9,470$3,883$2,936$8,525$3,495$2,643
Cystourethroscopy with Lithotripsy and Stent 52356)$33,176$13,602$10,285$33,225$13,622$10,300
Laparoscopic Hernia Repair - Initial 49650)$14,953$6,131$4,635$19,307$7,916$5,985
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,371$5,072$3,835$25,951$10,640$8,045
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,438$8,790$6,646$22,014$9,026$6,824
Uppr GI Endoscopy with Guide Wire 43248)$6,399$2,624$1,984$8,383$3,437$2,599
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,180$9,094$6,876$30,725$12,597$9,525
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,854$1,580$1,195$4,037$1,655$1,251
Laparoscopic Appendectomy 44970)$28,786$11,802$8,924$20,648$8,466$6,401
Destruction of Benign Lesions up to 14 Lesions 17110)$8,538$3,501$2,647NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,792$1,965$1,485$9,940$4,075$3,081
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$891$365$276NRNRNR
Removal of Tonsils 42826)$11,210$4,596$3,475$11,096$4,549$3,440
Cystourethroscopy with Stent 52332)$11,821$4,847$3,665$13,908$5,702$4,312
Repair of Nasal Septum 30520)$17,852$7,319$5,534$12,749$5,227$3,952
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,735$12,191$9,218NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$31,477$12,906$9,758$32,093$13,158$9,949
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,423$5,504$4,161$16,780$6,880$5,202
Laparoscopy - Removal of Adnexal Structures 58661)$27,733$11,371$8,597NRNRNR
Mastectomy, Partial 19301)$13,294$5,451$4,121$26,980$11,062$8,364
Needle Biopsy of Liver 47000)$5,545$2,274$1,719NRNRNR
Debridement Skin/Tissue 11042)$606$248$188$1,059$434$328
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,425$14,934$11,292$41,710$17,101$12,930
Coronary Artery Angio S&I 93454)$37,681$15,449$11,681NRNRNR
Aspirate Pleura with Imaging 32555)$2,096$860$650NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$12,407$5,087$3,846NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$338$139$105$541$222$168
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$14,422$5,913$4,471
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$26,183$10,735$8,117NRNRNR
Bone Marrow Biopsy 38221)$10,219$4,190$3,168$10,567$4,332$3,276
Correction of Bunion 28296)$13,705$5,619$4,249$41,911$17,184$12,993
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$10,816$4,434$3,353
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$3,347$2,530$7,085$2,905$2,196
Removal of Central Venous Device w Port or Pump 36590)$863$354$267NRNRNR
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.