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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3302Knee Replacement$43,361$19,512$12,141
4720Blood Infection/Septicemia$14,445$6,500$4,045
5540Cesarean DeliveryNRNRNR
6139Pneumonia$10,971$4,937$3,072
7194Heart Failure$12,405$5,582$3,473
8301Hip Replacement$48,699$21,915$13,636
9751Psychoses$7,801$3,510$2,184
10753Bipolar Disorders$10,381$4,671$2,907
11140Chronic Obstructive Pulmonary Disease$15,324$6,896$4,291
12201Heart Abnormal Rhythm and Conduction Disorders$10,021$4,509$2,806
13383Cellulitis and Other Bacterial Skin Infections$9,644$4,340$2,700
14775Alchohol Abuse/Dependence$8,000$3,600$2,240
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,755$7,990$4,971
17463Kidney/Urinary Tract Infection$11,239$5,058$3,147
18860RehabilitationNRNRNR
19221Major Bowel Procedures$33,999$15,300$9,520
20750Schizophrenia$9,522$4,285$2,666
21133Pulmonary Edema/Respiratory FailureNRNRNR
22174Angioplasty with Heart Attack$54,982$24,742$15,395
23254Other Digestive System Diagnoses$10,799$4,860$3,024
24247Intestinal Obstruction without Surgery$12,218$5,498$3,421
25175Angioplasty without Heart Attack$56,716$25,522$15,880
26420Diabetes$12,716$5,722$3,560
27282Disorders of Pancreas Except Malignancy$8,124$3,656$2,275
28249Gastroenteritis$9,874$4,443$2,765
29754Depression$5,540$2,493$1,551
30812Poisoning of Medicinal Agents$9,541$4,293$2,671
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,767$23,295$14,495
32137Respiratory Infections and Inflammations$18,254$8,214$5,111
33053Seizure$11,706$5,268$3,278
34308Hip/Thigh Surgery with Trauma Diagnosis$32,888$14,800$9,209
35263Laparoscopic Cholecystectomy$35,803$16,111$10,025
36134Pulmonary Embolism$19,961$8,982$5,589
37173Other Vascular Procedures$69,763$31,393$19,534
38190Circulatory Disorders with Heart Attack$25,257$11,366$7,072
39425Other Electrolyte Disorders$11,861$5,337$3,321
40347Other Back/Neck Disorders, Fractures, Injuries$15,800$7,110$4,424
41315Shoulder/Upper Arm, Forearm Surgery$36,401$16,380$10,192
42241Peptic Ulcer/Gastritis$20,835$9,376$5,834
43244Diverticulitis & Diverticulosis$11,487$5,169$3,216
44861Signs & Symptoms$14,747$6,636$4,129
45313Other Knee/Lower Leg Surgery$34,033$15,315$9,529
46253Other and Unspecified Gastrointestinal Hemorrhage$14,967$6,735$4,191
47225Appendectomy$24,709$11,119$6,919
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$16,790$7,556$4,701
49351Other Musculoskeletal System and Connective Tissue Diagnoses$14,289$6,430$4,001
50248Major G.I. Bacterial Infections$8,118$3,653$2,273
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$26,365$11,864$7,382
52141Asthma$15,913$7,161$4,456
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,473$11,913$7,412
54024Extracranial Vascular Procedures$20,936$9,421$5,862
55773Opioid Abuse/Dependence$6,185$2,783$1,732
56321Upper Spinal Fusion$45,022$20,260$12,606
57197Peripheral and Other Vascular Disorders$15,118$6,803$4,233
58721Postoperative and Post-Traumatic Infections$12,132$5,459$3,397
59204Fainting and Collapse$16,557$7,451$4,636
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$14,050$6,323$3,934
61693ChemotherapyNRNRNR
62710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
63144Respiratory System Signs, Symptoms and Minor Diagnoses$11,518$5,183$3,225
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,853$9,834$6,119
66566Other Antepartum DiagnosesNRNRNR
67513Uterine Procedures without Tumor$19,624$8,831$5,495
68021Craniotomy Except For Trauma$96,575$43,459$27,041
69163Heart Valve Procedures without Cardiac Catheterization$136,871$61,592$38,324
70143Pneumothorax & Pleural Effusion$11,670$5,252$3,268
71422Hypovolemia$9,519$4,284$2,665
72755Neuroses Other Than Depression$5,374$2,418$1,505
73052Nontraumatic stupor & coma$23,551$10,598$6,594
74055Head trauma w coma >1 hr or hemorrhage$13,452$6,053$3,767
75047Transient Ischemia$14,184$6,383$3,972

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 2013 - March 2014
 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)$10,225$4,601$2,863$11,310$5,090$3,167
Colonoscopy and Biopsy 45380)$4,988$2,245$1,397$6,677$3,005$1,870
Upper GI Endoscopy with Biopsy 43239)$5,834$2,625$1,633$6,682$3,007$1,871
Diagnostic Colonoscopy 45378)$3,877$1,745$1,086$5,190$2,336$1,453
Lesion Removal Colonoscopy by Snare Technique 45385)$5,603$2,521$1,569$6,422$2,890$1,798
Injection into Lumbar or Sacral Area, Single Level 64483)$1,445$650$405$2,052$923$575
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,473$1,563$972$5,630$2,534$1,576
Drain/Inject Major Joint or Bursa 20610)$1,444$650$404NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,877$1,745$1,086$4,808$2,163$1,346
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$20,762$9,343$5,813$21,414$9,636$5,996
Carpal Tunnel Surgery 64721)$8,998$4,049$2,520$10,933$4,920$3,061
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,877$1,745$1,086$4,801$2,160$1,344
Uppr GI Endoscopy- Diagnostic 43235)$5,241$2,358$1,467$6,138$2,762$1,719
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,915$2,212$1,376$5,792$2,607$1,622
Left Heart Artery/Ventricle Angiography 93458)$23,963$10,783$6,710NRNRNR
Creation of Eardrum Opening 69436)$7,575$3,409$2,121$13,375$6,019$3,745
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$3,088$1,389$865$5,019$2,258$1,405
Unlisted Dental Surgery Procedure 41899)$8,504$3,827$2,381NRNRNR
Laparoscopic Cholecystectomy 47562)$27,465$12,359$7,690$29,728$13,377$8,324
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,842$1,279$796$4,478$2,015$1,254
After Cataract Laser Surgery 66821)$1,424$641$399NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,528$6,538$4,068$16,376$7,369$4,585
Removal of Tonsils And Adenoids - < Age 12 42820)$11,983$5,392$3,355$14,011$6,305$3,923
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$31,016$13,957$8,684
Cataract Surgery- Complex 66982)$11,215$5,047$3,140$10,712$4,820$2,999
Unlisted Cystourethoscopy 52000)$9,354$4,209$2,619$7,838$3,527$2,195
Hysteroscopy with Biopsy 58558)$10,303$4,636$2,885$10,568$4,755$2,959
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNR$6,262$2,818$1,753
Esophageal Endoscopy with Dilation 43249)$6,264$2,819$1,754$6,658$2,996$1,864
ABD Paracentesis w/Imaging 49083)$2,525$1,136$707$5,281$2,376$1,479
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,092$9,941$6,186$23,496$10,573$6,579
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$20,814$9,366$5,828$21,652$9,743$6,063
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,662$5,248$3,265$23,557$10,601$6,596
Incision of Finger Tendon Sheath 26055)$4,745$2,135$1,328NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$6,752$3,039$1,891$7,112$3,201$1,991
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$15,257$6,866$4,272$16,952$7,629$4,747
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy 52353)$28,676$12,904$8,029$30,926$13,917$8,659
Repair of Nasal Septum 30520)$23,991$10,796$6,717$12,584$5,663$3,524
Cystourethroscopy with Stent 52332)$11,713$5,271$3,280$14,863$6,688$4,162
Removal of Tonsils 42826)$11,622$5,230$3,254$15,403$6,931$4,313
Laparoscopic Appendectomy 44970)$27,166$12,225$7,606$26,831$12,074$7,513
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$27,305$12,287$7,645$29,510$13,279$8,263
Fragmenting of Kidney Stone 50590)$30,062$13,528$8,417$31,547$14,196$8,833
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,938$5,822$3,623$12,160$5,472$3,405
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,373$1,968$1,224$5,820$2,619$1,629
Hysteroscopy with Ablation 58563)$11,288$5,079$3,161$8,549$3,847$2,394
Correction of Bunion 28296)$13,973$6,288$3,912$18,086$8,139$5,064
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$797$359$223NRNRNR
Mastectomy, Partial 19301)$14,840$6,678$4,155$24,191$10,886$6,773
Colonoscopy with Lesion Removal 45383)$5,321$2,394$1,490$5,785$2,603$1,620
Percutaneous Breast Biopsy with Imaging 19102)$7,280$3,276$2,038$7,709$3,469$2,158
Coronary Artery Angio S&I 93454)$31,998$14,399$8,959NRNRNR
Bone Marrow Biopsy 38221)$9,413$4,236$2,636$9,499$4,275$2,660
Needle Biopsy of Liver 47000)$5,785$2,603$1,620$6,080$2,736$1,702
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)$9,734$4,380$2,726NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,463$12,358$7,690$24,323$10,946$6,811
Right and Left Heart Artery/Ventricle Angiography 93460)$28,169$12,676$7,887NRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$3,787$1,704$1,060$6,410$2,884$1,795
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$11,090$4,991$3,105$25,806$11,613$7,226
Aspirate Pleura with Imaging 32555)$2,541$1,144$712NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNR$7,932$3,570$2,221
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$14,408$6,484$4,034$14,394$6,477$4,030
Debridement, Open Wound <= 20 Square Centimeters 97597)$320$144$90$504$227$141
Removal of Central Venous Device w Port or Pump 36590)$852$383$239$5,922$2,665$1,658
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$320$144$90$1,611$725$451
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$20,700$9,315$5,796NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$25,018$11,258$7,005$29,146$13,115$8,161
Information about quality and safety of care for Columbia St Mary's Inc - Ozaukee Campus may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.