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:   July 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$16,110$6,605$5,155
4302Knee Replacement$52,530$21,537$16,810
5194Heart Failure$11,915$4,885$3,813
6540Cesarean DeliveryNRNRNR
7301Hip Replacement$56,981$23,362$18,234
8751Psychoses$10,645$4,364$3,406
9139Pneumonia$11,319$4,641$3,622
10140Chronic Obstructive Pulmonary Disease$26,487$10,860$8,476
11753Bipolar Disorders$13,526$5,546$4,328
12201Heart Abnormal Rhythm and Conduction Disorders$9,352$3,834$2,993
13775Alcohol Abuse/Dependence$10,486$4,299$3,356
14383Cellulitis & other skin infections$7,081$2,903$2,266
15045Stroke and Precerebral Occlusion with Infarct$28,860$11,833$9,235
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$19,425$7,964$6,216
18221Major Bowel Procedures$41,916$17,186$13,413
19174Percutaneous coronary intervention w AMI$58,313$23,908$18,660
20750Schizophrenia$12,968$5,317$4,150
21420Diabetes$16,287$6,678$5,212
22469Acute Kidney InjuryNRNRNR
23754Depression$7,404$3,036$2,369
24282Disorders of Pancreas Except Malignancy$16,678$6,838$5,337
25247Intestinal Obstruction without Surgery$11,689$4,792$3,740
26254Other Digestive System Diagnoses$24,231$9,935$7,754
27812Poisoning of Medicinal Agents$11,089$4,546$3,548
28308Hip & femur fracture repair$41,241$16,909$13,197
29710Infectious & parasitic diseases including HIV w O.R. procedure$17,496$7,173$5,599
30773Opioid Abuse/Dependence$11,406$4,676$3,650
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32190Circulatory Disorders with Heart Attack$27,167$11,138$8,693
33053Seizure$17,635$7,230$5,643
34175Percutaneous coronary intervention w/o AMI$77,875$31,929$24,920
35249Other gastroenteritis, nausea & vomiting$16,228$6,653$5,193
36058Other Disorders of Nervous SystemNRNRNR
37137Respiratory Infections and Inflammations$15,296$6,271$4,895
38134Pulmonary Embolism$30,105$12,343$9,634
39263Laparoscopic Cholecystectomy$32,003$13,121$10,241
40244Diverticulitis & Diverticulosis$13,879$5,690$4,441
41192Cardiac catheterization for other non-coronary conditions$43,955$18,022$14,066
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$16,946$6,948$5,423
44253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
45241Peptic Ulcer/Gastritis$22,282$9,136$7,130
46466Malfunction, reaction, complic of genitourinary device or proc$3,913$1,604$1,252
47313Other Knee/Lower Leg Surgery$36,864$15,114$11,796
48425Other Electrolyte Disorders$15,119$6,199$4,838
49315Shoulder, upper arm & forearm procedures except joint replacement$61,463$25,200$19,668
50248Major G.I. Bacterial Infections$19,694$8,075$6,302
51351Other Musculoskeletal System and Connective Tissue Diagnoses$25,980$10,652$8,314
52951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
53024Extracranial Vascular Procedures$23,144$9,489$7,406
54113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,512$5,130$4,004
57862Other Factors Influencing Health StatusNRNRNR
58321Upper Spinal FusionNRNRNR
59566Other Antepartum DiagnosesNRNRNR
60055Head trauma w coma >1 hr or hemorrhage$16,281$6,675$5,210
61422HypovolemiaNRNRNR
62166Coronary bypass w/o AMI or complex PDX$127,453$52,256$40,785
63197Peripheral and Other Vascular Disorders$44,181$18,114$14,138
64181Lower Extremity Arterial Procedures$60,680$24,879$19,418
65052Nontraumatic stupor & coma$22,154$9,083$7,089
66141Asthma$11,470$4,703$3,670
67460Renal FailureNRNRNR
68755Neuroses Other Than Depression$7,883$3,232$2,523
69225AppendectomyNRNRNR
70721Postoperative and Post-Traumatic Infections$10,842$4,445$3,469
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$46,743$19,165$14,958
72144Respiratory System Signs, Symptoms and Minor Diagnoses$20,891$8,565$6,685
73163Cardiac valve procedures w/o AMI or complex PDX$176,518$72,372$56,486
74204Fainting and Collapse$9,404$3,856$3,009
75639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR

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:  July 2016 - June 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)$10,170$4,170$3,254$12,274$5,032$3,928
Colonoscopy and Biopsy (45380)$6,328$2,595$2,025$7,060$2,895$2,259
Lesion Removal Colonoscopy by Snare Technique (45385)$5,981$2,452$1,914$9,040$3,706$2,893
Upper GI Endoscopy with Biopsy (43239)$6,995$2,868$2,238$9,559$3,919$3,059
Diagnostic Colonoscopy (45378)$5,447$2,233$1,743$10,004$4,102$3,201
Injection into Lumbar or Sacral Area, Single Level (64483)$2,070$849$662$2,866$1,175$917
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,424$1,814$1,416$5,643$2,314$1,806
Drain/Inject Major Joint or Bursa (20610)$1,642$673$525NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,297$2,172$1,695$10,690$4,383$3,421
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,433$2,227$1,738$9,534$3,909$3,051
Carpal Tunnel Surgery (64721)$11,747$4,816$3,759$11,785$4,832$3,771
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$2,132$874$682$4,143$1,699$1,326
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$22,436$9,199$7,180$22,479$9,216$7,193
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$6,000$2,460$1,920$6,449$2,644$2,064
Uppr GI Endoscopy- Diagnostic (43235)$6,624$2,716$2,120$8,786$3,602$2,811
Creation of Eardrum Opening (69436)$9,043$3,708$2,894$16,573$6,795$5,303
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,594$2,294$1,790$7,727$3,168$2,473
Left Heart Artery/Ventricle Angiography (93458)$27,130$11,123$8,681NRNRNR
Unlisted Dental Surgery Procedure (41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$3,388$1,389$1,084$5,165$2,117$1,653
After Cataract Laser Surgery (66821)$1,971$808$631NRNRNR
Laparoscopic Cholecystectomy (47562)$21,432$8,787$6,858NRNRNR
ABD Paracentesis w/Imaging (49083)$2,808$1,151$899NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$4,980$2,042$1,593$11,244$4,610$3,598
Esophageal Endoscopy with Dilation (43249)$7,279$2,985$2,329$7,721$3,166$2,471
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$899$368$288$11,118$4,558$3,558
Removal of Tonsils And Adenoids - < Age 12 (42820)$14,342$5,880$4,590$17,486$7,169$5,595
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$36,363$14,909$11,636
Hysteroscopy with Biopsy (58558)$11,215$4,598$3,589$12,517$5,132$4,006
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)$2,172$891$695NRNRNR
Cataract Surgery- Complex (66982)$10,609$4,350$3,395$14,847$6,087$4,751
Cystourethroscopy with Lithotripsy and Stent (52356)$34,740$14,243$11,117$32,443$13,301$10,382
Incision of Finger Tendon Sheath (26055)$8,497$3,484$2,719NRNRNR
Laparoscopic Hernia Repair - Initial (49650)$18,240$7,478$5,837$22,125$9,071$7,080
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$14,897$6,108$4,767$21,615$8,862$6,917
Unlisted Cystourethoscopy (52000)$8,998$3,689$2,879$9,206$3,774$2,946
Uppr GI Endoscopy with Guide Wire (43248)$6,699$2,747$2,144$9,988$4,095$3,196
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$4,213$1,727$1,348$6,541$2,682$2,093
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,634$4,770$3,723$36,101$14,801$11,552
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$23,137$9,486$7,404$24,233$9,935$7,754
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$21,427$8,785$6,857$24,090$9,877$7,709
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion (19081)$5,509$2,259$1,763$12,767$5,234$4,085
Cystourethroscopy with Stent (52332)$13,205$5,414$4,226$25,332$10,386$8,106
Laparoscopy - Removal of Adnexal Structures (58661)$26,300$10,783$8,416$30,629$12,558$9,801
Mastectomy, Partial (19301)$14,494$5,943$4,638$25,217$10,339$8,069
Debridement Skin/Tissue (11042)$711$292$228$1,246$511$399
Laparoscopic Appendectomy (44970)$29,743$12,195$9,518$25,580$10,488$8,186
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$14,105$5,783$4,514$21,749$8,917$6,960
Laparoscopy, Removal of Tubes & Ovaries (58571)$36,991$15,166$11,837$40,809$16,732$13,059
Removal of Tonsils (42826)$12,944$5,307$4,142NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$1,021$419$327NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNRNRNRNR
Low Back Disk Surgery (63030)$32,035$13,134$10,251NRNRNR
Repair of Nasal Septum (30520)$10,954$4,491$3,505$12,529$5,137$4,009
Fragmenting of Kidney Stone (50590)$32,887$13,484$10,524$34,965$14,336$11,189
Needle Biopsy of Liver (47000)$8,158$3,345$2,611NRNRNR
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$44,866$18,395$14,357NRNRNR
Aspirate Pleura with Imaging (32555)$2,175$892$696$5,346$2,192$1,711
Bone Marrow Biopsy (38221)$12,965$5,316$4,149$13,459$5,518$4,307
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$14,049$5,760$4,496$14,850$6,089$4,752
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)$10,983$4,503$3,515$13,545$5,553$4,334
Correction of Bunion (28296)$20,310$8,327$6,499$31,157$12,774$9,970
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$9,515$3,901$3,045NRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$28,216$11,568$9,029NRNRNR
Shoulder Arthroscopy/Surgery (29824)NRNRNR$25,274$10,362$8,088
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$1,343$551$430$9,168$3,759$2,934
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)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.