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:  January 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,979$6,291$3,914
4302Knee Replacement$42,509$19,129$11,903
5540Cesarean DeliveryNRNRNR
6194Heart Failure$10,443$4,699$2,924
7139Pneumonia$15,980$7,191$4,474
8301Hip Replacement$46,726$21,027$13,083
9751Psychoses$8,458$3,806$2,368
10753Bipolar Disorders$8,976$4,039$2,513
11140Chronic Obstructive Pulmonary Disease$16,274$7,323$4,557
12201Heart Abnormal Rhythm and Conduction Disorders$13,278$5,975$3,718
13775Alcohol Abuse/Dependence$9,537$4,292$2,670
14383Cellulitis and Other Bacterial Skin Infections$10,575$4,759$2,961
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,317$7,793$4,849
17463Kidney/Urinary Tract Infection$11,070$4,982$3,100
18860RehabilitationNRNRNR
19221Major Bowel Procedures$32,355$14,560$9,059
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$9,757$4,391$2,732
22174Angioplasty with Heart Attack$51,613$23,226$14,452
23254Other Digestive System Diagnoses$13,850$6,233$3,878
24247Intestinal Obstruction without Surgery$11,167$5,025$3,127
25282Disorders of Pancreas Except Malignancy$12,229$5,503$3,424
26420Diabetes$9,749$4,387$2,730
27754Depression$5,860$2,637$1,641
28249Gastroenteritis$10,073$4,533$2,820
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$36,445$16,400$10,205
30053Seizure$18,399$8,280$5,152
31137Respiratory Infections and InflammationsNRNRNR
32812Poisoning of Medicinal Agents$9,274$4,173$2,597
33308Hip/Thigh Surgery with Trauma Diagnosis$36,686$16,509$10,272
34134Pulmonary Embolism$16,565$7,454$4,638
35175Angioplasty without Heart Attack$55,019$24,759$15,405
36190Circulatory Disorders with Heart Attack$27,557$12,401$7,716
37173Other Vascular Procedures$53,185$23,933$14,892
38263Laparoscopic Cholecystectomy$30,612$13,775$8,571
39347Other Back/Neck Disorders, Fractures, Injuries$11,712$5,270$3,279
40244Diverticulitis & Diverticulosis$11,164$5,024$3,126
41425Other Electrolyte Disorders$12,965$5,834$3,630
42861Signs & Symptoms$13,965$6,284$3,910
43241Peptic Ulcer/Gastritis$21,504$9,677$6,021
44315Shoulder/Upper Arm, Forearm Surgery$31,322$14,095$8,770
45313Other Knee/Lower Leg Surgery$36,411$16,385$10,195
46253Other and Unspecified Gastrointestinal Hemorrhage$13,303$5,986$3,725
47141Asthma$10,489$4,720$2,937
48351Other Musculoskeletal System and Connective Tissue Diagnoses$12,675$5,704$3,549
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$19,398$8,729$5,431
50248Major G.I. Bacterial Infections$23,252$10,463$6,511
51773Opioid Abuse/Dependence$7,118$3,203$1,993
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$30,651$13,793$8,582
53710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
54024Extracranial Vascular Procedures$21,008$9,454$5,882
55693ChemotherapyNRNRNR
56466Malfunction, reaction, complic of genitourinary device or procNRNRNR
57321Upper Spinal Fusion$35,216$15,847$9,860
58225Appendectomy$27,850$12,533$7,798
59721Postoperative and Post-Traumatic Infections$11,076$4,984$3,101
60197Peripheral and Other Vascular Disorders$13,144$5,915$3,680
61144Respiratory System Signs, Symptoms and Minor Diagnoses$12,033$5,415$3,369
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$28,675$12,904$8,029
63021Craniotomy Except For TraumaNRNRNR
64566Other Antepartum Diagnoses$7,925$3,566$2,219
65204Fainting and Collapse$14,099$6,345$3,948
66163Heart Valve Procedures without Cardiac Catheterization$139,766$62,895$39,134
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,627$4,782$2,976
68052Nontraumatic stupor & coma$11,207$5,043$3,138
69113Epiglottitis, Ear Infection, URI and Laryngotracheitis$11,491$5,171$3,217
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,177$9,530$5,930
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$14,781$6,651$4,139
72198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,497$5,624$3,499
73755Neuroses Other Than Depression$5,374$2,418$1,505
74055Head trauma w coma >1 hr or hemorrhage$12,398$5,579$3,471
75422Hypovolemia$8,651$3,893$2,422

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:  January 2014 - December 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)$10,248$4,612$2,869$10,203$4,591$2,857
Colonoscopy and Biopsy 45380)$5,179$2,331$1,450$5,543$2,494$1,552
Upper GI Endoscopy with Biopsy 43239)$6,051$2,723$1,694$6,278$2,825$1,758
Diagnostic Colonoscopy 45378)$4,814$2,167$1,348$4,836$2,176$1,354
Lesion Removal Colonoscopy by Snare Technique 45385)$5,179$2,331$1,450$5,425$2,441$1,519
Injection into Lumbar or Sacral Area, Single Level 64483)$1,447$651$405$2,936$1,321$822
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,713$1,671$1,040$5,829$2,623$1,632
Drain/Inject Major Joint or Bursa 20610)$1,444$650$404$2,724$1,226$763
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,801$2,160$1,344$4,814$2,167$1,348
Carpal Tunnel Surgery 64721)$9,010$4,055$2,523$13,551$6,098$3,794
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,141$9,513$5,919$21,542$9,694$6,032
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,615$2,077$1,292$4,800$2,160$1,344
Uppr GI Endoscopy- Diagnostic 43235)$5,686$2,559$1,592$5,723$2,576$1,603
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,980$2,241$1,394$5,179$2,331$1,450
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$3,769$1,696$1,055$5,171$2,327$1,448
Left Heart Artery/Ventricle Angiography 93458)$24,131$10,859$6,757NRNRNR
Creation of Eardrum Opening 69436)$7,559$3,401$2,116$7,603$3,421$2,129
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,710$1,669$1,039$4,239$1,908$1,187
Laparoscopic Cholecystectomy 47562)$19,224$8,651$5,383$55,379$24,921$15,506
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)$1,408$634$394NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$10,764$4,844$3,014$15,498$6,974$4,340
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,420$6,489$4,038$16,376$7,369$4,585
Cataract Surgery- Complex 66982)$11,133$5,010$3,117$10,969$4,936$3,071
Arthroscopic Rotator Cuff Repair 29827)$29,043$13,069$8,132$34,882$15,697$9,767
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,980$2,241$1,394$12,104$5,447$3,389
Hysteroscopy with Biopsy 58558)$10,176$4,579$2,849$10,095$4,543$2,827
ABD Paracentesis w/Imaging 49083)$2,399$1,079$672$5,281$2,376$1,479
Unlisted Cystourethoscopy 52000)$9,314$4,191$2,608$7,827$3,522$2,192
Esophageal Endoscopy with Dilation 43249)$6,274$2,823$1,757$6,520$2,934$1,826
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,963$9,883$6,150$25,263$11,368$7,074
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,034$4,515$2,810$23,693$10,662$6,634
Incision of Finger Tendon Sheath 26055)$3,683$1,657$1,031$8,978$4,040$2,514
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,320$9,594$5,970$21,791$9,806$6,101
Cystourethroscopy with Lithotripsy and Stent 52356)$30,735$13,831$8,606$32,607$14,673$9,130
Uppr GI Endoscopy with Guide Wire 43248)$6,018$2,708$1,685$6,461$2,908$1,809
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$14,628$6,583$4,096$16,454$7,404$4,607
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,756$2,140$1,332$9,643$4,339$2,700
Laparoscopic Appendectomy 44970)$27,178$12,230$7,610$29,401$13,231$8,232
Cystourethroscopy with Stent 52332)$12,628$5,683$3,536$16,267$7,320$4,555
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$5,021$2,259$1,406$5,820$2,619$1,629
Fragmenting of Kidney Stone 50590)$30,276$13,624$8,477$31,579$14,211$8,842
Repair of Nasal Septum 30520)$27,828$12,523$7,792$12,846$5,781$3,597
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,086$5,439$3,384$16,974$7,638$4,753
Removal of Tonsils 42826)$11,578$5,210$3,242$12,232$5,505$3,425
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$28,791$12,956$8,061
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$850$382$238NRNRNR
Coronary Artery Angio S&I 93454)$38,780$17,451$10,858NRNRNR
Mastectomy, Partial 19301)$16,244$7,310$4,548$24,320$10,944$6,810
Hysteroscopy with Ablation 58563)$13,146$5,916$3,681$26,388$11,875$7,389
Apheresis Plasma 36514)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,436$2,446$1,522NRNRNR
Colonoscopy with Lesion Removal 45383)$3,849$1,732$1,078$5,193$2,337$1,454
Bone Marrow Biopsy 38221)$10,729$4,828$3,004$10,145$4,565$2,841
Laparoscopy - Removal of Adnexal Structures 58661)$25,740$11,583$7,207$42,224$19,001$11,823
Correction of Bunion 28296)$13,613$6,126$3,812$20,080$9,036$5,622
Electro-Uroflowmetry - First 51741)NRNRNR$7,842$3,529$2,196
Laparoscopy, Removal of Tubes & Ovaries 58571)$39,059$17,577$10,937$52,185$23,483$14,612
Debridement Skin/Tissue 11042)$588$265$165$1,528$688$428
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,820$3,969$2,470
Aspirate Pleura with Imaging 32555)$2,305$1,037$645NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$24,132$10,860$6,757NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$10,353$4,659$2,899$25,316$11,392$7,089
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$3,201$1,440$896NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$860$387$241$2,415$1,087$676
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,903$10,306$6,413
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,025$9,911$6,167
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.