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 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$13,152$5,392$4,209
4302Knee Replacement$51,799$21,238$16,576
5540Cesarean DeliveryNRNRNR
6194Heart Failure$14,796$6,066$4,735
7301Hip Replacement$55,437$22,729$17,740
8751Psychoses$10,340$4,239$3,309
9139Pneumonia$8,920$3,657$2,854
10140Chronic Obstructive Pulmonary Disease$30,451$12,485$9,744
11753Bipolar Disorders$13,885$5,693$4,443
12775Alcohol Abuse/Dependence$10,004$4,102$3,201
13201Heart Abnormal Rhythm and Conduction Disorders$13,170$5,400$4,214
14383Cellulitis & other skin infections$8,091$3,317$2,589
15045Stroke and Precerebral Occlusion with Infarct$20,461$8,389$6,548
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$16,031$6,573$5,130
18221Major Bowel Procedures$35,625$14,606$11,400
19174Percutaneous coronary intervention w AMI$58,757$24,090$18,802
20750Schizophrenia$12,726$5,218$4,072
21754Depression$7,444$3,052$2,382
22420Diabetes$16,093$6,598$5,150
23282Disorders of Pancreas Except Malignancy$15,725$6,447$5,032
24247Intestinal Obstruction without Surgery$13,083$5,364$4,187
25254Other Digestive System Diagnoses$15,846$6,497$5,071
26812Poisoning of Medicinal Agents$10,166$4,168$3,253
27710Infectious & parasitic diseases including HIV w O.R. procedure$17,496$7,173$5,599
28773Opioid Abuse/Dependence$7,618$3,123$2,438
29308Hip & femur fracture repair$39,715$16,283$12,709
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31190Circulatory Disorders with Heart Attack$22,412$9,189$7,172
32053Seizure$18,528$7,596$5,929
33137Respiratory Infections and Inflammations$6,916$2,836$2,213
34058Other Disorders of Nervous SystemNRNRNR
35175Percutaneous coronary intervention w/o AMI$73,933$30,313$23,659
36249Other gastroenteritis, nausea & vomitingNRNRNR
37460Renal FailureNRNRNR
38134Pulmonary Embolism$33,388$13,689$10,684
39263Laparoscopic Cholecystectomy$32,909$13,493$10,531
40244Diverticulitis & Diverticulosis$11,590$4,752$3,709
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$4,148$1,701$1,327
43347Other Back/Neck Disorders, Fractures, Injuries$17,190$7,048$5,501
44315Shoulder, upper arm & forearm procedures except joint replacement$49,288$20,208$15,772
45253Other and Unspecified Gastrointestinal Hemorrhage$19,282$7,906$6,170
46241Peptic Ulcer/Gastritis$20,633$8,460$6,603
47313Other Knee/Lower Leg Surgery$35,746$14,656$11,439
48466Malfunction, reaction, complic of genitourinary device or proc$3,913$1,604$1,252
49192Cardiac catheterization for other non-coronary conditions$31,632$12,969$10,122
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51425Other Electrolyte Disorders$15,119$6,199$4,838
52248Major G.I. Bacterial Infections$19,385$7,948$6,203
53951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,825$8,538$6,664
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular Procedures$23,612$9,681$7,556
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal FusionNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular Disorders$44,181$18,114$14,138
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhage$16,161$6,626$5,172
64173Other Vascular Procedures$73,421$30,103$23,495
65052Nontraumatic stupor & coma$22,154$9,083$7,089
66225Appendectomy$23,330$9,565$7,466
67141Asthma$11,470$4,703$3,670
68166Coronary bypass w/o AMI or complex PDX$119,214$48,878$38,148
69721Postoperative and Post-Traumatic Infections$7,381$3,026$2,362
70755Neuroses Other Than Depression$6,914$2,835$2,212
71191Cardiac catheterization for coronary artery disease$45,516$18,662$14,565
72220Major Stomach/Esophagus/Duodenum Procedures$47,901$19,639$15,328
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$46,743$19,165$14,958
74163Cardiac valve procedures w/o AMI or complex PDX$157,779$64,689$50,489
75950Extensive Procedure Unrelated to Principal Diagnosis$34,106$13,983$10,914

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 2016 - March 2017
 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)$10,291$4,219$3,293$12,648$5,186$4,047
Colonoscopy and Biopsy 45380)$5,618$2,303$1,798$6,931$2,842$2,218
Lesion Removal Colonoscopy by Snare Technique 45385)$5,594$2,294$1,790$8,373$3,433$2,679
Upper GI Endoscopy with Biopsy 43239)$6,620$2,714$2,118$8,825$3,618$2,824
Diagnostic Colonoscopy 45378)$5,077$2,082$1,625$9,865$4,045$3,157
Injection into Lumbar or Sacral Area, Single Level 64483)$1,996$818$639$2,866$1,175$917
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,354$1,785$1,393$5,063$2,076$1,620
Drain/Inject Major Joint or Bursa 20610)$1,584$649$507NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,077$2,082$1,625$10,584$4,339$3,387
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,077$2,082$1,625$9,345$3,831$2,990
Carpal Tunnel Surgery 64721)$11,851$4,859$3,792$11,785$4,832$3,771
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,390$9,180$7,165$22,479$9,216$7,193
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,290$1,759$1,373$6,028$2,472$1,929
Uppr GI Endoscopy- Diagnostic 43235)$5,741$2,354$1,837$9,451$3,875$3,024
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,580$2,288$1,785$5,496$2,253$1,759
Creation of Eardrum Opening 69436)$9,040$3,706$2,893$16,573$6,795$5,303
Left Heart Artery/Ventricle Angiography 93458)$25,972$10,648$8,311NRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,388$1,389$1,084$4,930$2,021$1,578
After Cataract Laser Surgery 66821)$1,758$721$563NRNRNR
Laparoscopic Cholecystectomy 47562)$20,217$8,289$6,469NRNRNR
ABD Paracentesis w/Imaging 49083)$2,518$1,032$806NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,318$951$742NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,980$2,042$1,593$11,834$4,852$3,787
Esophageal Endoscopy with Dilation 43249)$7,279$2,985$2,329$7,428$3,046$2,377
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,363$14,909$11,636
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$899$368$288NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$14,342$5,880$4,590$17,486$7,169$5,595
Hysteroscopy with Biopsy 58558)$11,233$4,605$3,594$27,914$11,445$8,932
Cataract Surgery- Complex 66982)$10,955$4,491$3,506$14,847$6,087$4,751
Cystourethroscopy with Lithotripsy and Stent 52356)$33,698$13,816$10,783$32,443$13,301$10,382
Incision of Finger Tendon Sheath 26055)$8,497$3,484$2,719NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,458$6,338$4,946$21,813$8,943$6,980
Laparoscopic Hernia Repair - Initial 49650)$16,826$6,899$5,384$21,261$8,717$6,804
Unlisted Cystourethoscopy 52000)$9,212$3,777$2,948$8,629$3,538$2,761
Uppr GI Endoscopy with Guide Wire 43248)$6,546$2,684$2,095$8,687$3,562$2,780
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,189$1,718$1,340$6,541$2,682$2,093
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,707$5,620$4,386$27,302$11,194$8,737
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,506$8,818$6,882$24,208$9,925$7,747
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,468$9,212$7,190NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$12,630$5,178$4,042$25,332$10,386$8,106
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,483$2,248$1,755$11,192$4,589$3,581
Laparoscopy - Removal of Adnexal Structures 58661)$26,072$10,690$8,343$30,246$12,401$9,679
Mastectomy, Partial 19301)$13,859$5,682$4,435$25,761$10,562$8,244
Laparoscopic Appendectomy 44970)$29,860$12,243$9,555$30,078$12,332$9,625
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,023$5,749$4,487$20,164$8,267$6,453
Removal of Tonsils 42826)$12,680$5,199$4,057NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,253$14,864$11,601$40,809$16,732$13,059
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$918$376$294NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$10,954$4,491$3,505$12,529$5,137$4,009
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$2,349$963$752NRNRNR
Needle Biopsy of Liver 47000)$7,869$3,226$2,518NRNRNR
Debridement Skin/Tissue 11042)$650$267$208$1,001$410$320
Fragmenting of Kidney Stone 50590)$32,379$13,275$10,361$34,333$14,077$10,987
Coronary Artery Angio S&I 93454)$43,900$17,999$14,048NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,217$909$709$4,473$1,834$1,431
Bone Marrow Biopsy 38221)$12,757$5,231$4,082$12,629$5,178$4,041
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$19,906$8,161$6,370$28,135$11,535$9,003
Hysteroscopy with Ablation 58563)$13,909$5,703$4,451NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$25,274$10,362$8,088
Removal of Adenoids 42830)$10,983$4,503$3,515$13,545$5,553$4,334
Right and Left Heart Artery/Ventricle Angiography 93460)$28,038$11,495$8,972NRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,632$3,949$3,082NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$1,269$520$406NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
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.