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 2014 - March 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$12,218$5,498$3,421
4302Knee Replacement$43,170$19,427$12,088
5540Cesarean DeliveryNRNRNR
6194Heart Failure$10,443$4,699$2,924
7139Pneumonia$13,690$6,161$3,833
8301Hip Replacement$47,109$21,199$13,191
9751Psychoses$8,764$3,944$2,454
10753Bipolar Disorders$10,245$4,610$2,869
11140Chronic Obstructive Pulmonary Disease$12,169$5,476$3,407
12201Heart Abnormal Rhythm and Conduction Disorders$12,043$5,419$3,372
13775Alcohol Abuse/Dependence$9,487$4,269$2,656
14383Cellulitis and Other Bacterial Skin Infections$10,575$4,759$2,961
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,102$7,246$4,509
17463Kidney/Urinary Tract Infection$11,070$4,982$3,100
18860RehabilitationNRNRNR
19221Major Bowel Procedures$35,070$15,782$9,820
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$10,380$4,671$2,906
22174Angioplasty with Heart Attack$51,808$23,314$14,506
23254Other Digestive System Diagnoses$13,850$6,233$3,878
24247Intestinal Obstruction without Surgery$11,305$5,087$3,165
25282Disorders of Pancreas Except Malignancy$10,833$4,875$3,033
26420Diabetes$9,241$4,158$2,587
27249Gastroenteritis$10,073$4,533$2,820
28754Depression$5,915$2,662$1,656
29053Seizure$17,442$7,849$4,884
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$60,185$27,083$16,852
31812Poisoning of Medicinal Agents$7,708$3,469$2,158
32137Respiratory Infections and Inflammations$19,825$8,921$5,551
33134Pulmonary Embolism$12,499$5,625$3,500
34190Circulatory Disorders with Heart Attack$27,557$12,401$7,716
35308Hip/Thigh Surgery with Trauma Diagnosis$37,240$16,758$10,427
36173Other Vascular Procedures$55,912$25,160$15,655
37175Angioplasty without Heart Attack$55,019$24,759$15,405
38263Laparoscopic Cholecystectomy$30,030$13,514$8,408
39425Other Electrolyte Disorders$10,480$4,716$2,934
40244Diverticulitis & Diverticulosis$10,674$4,803$2,989
41347Other Back/Neck Disorders, Fractures, Injuries$10,858$4,886$3,040
42861Signs & Symptoms$13,910$6,260$3,895
43241Peptic Ulcer/Gastritis$17,162$7,723$4,805
44315Shoulder/Upper Arm, Forearm Surgery$31,322$14,095$8,770
45253Other and Unspecified Gastrointestinal Hemorrhage$11,640$5,238$3,259
46313Other Knee/Lower Leg Surgery$35,304$15,887$9,885
47141Asthma$10,489$4,720$2,937
48351Other Musculoskeletal System and Connective Tissue Diagnoses$9,564$4,304$2,678
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,815$8,017$4,988
50773Opioid Abuse/Dependence$8,979$4,041$2,514
51248Major G.I. Bacterial Infections$23,252$10,463$6,511
52710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,488$14,620$9,097
54693ChemotherapyNRNRNR
55466Malfunction, reaction, complic of genitourinary device or procNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,935$4,471$2,782
57024Extracranial Vascular Procedures$20,828$9,373$5,832
58321Upper Spinal Fusion$38,760$17,442$10,853
59721Postoperative and Post-Traumatic Infections$7,537$3,392$2,110
60144Respiratory System Signs, Symptoms and Minor Diagnoses$12,033$5,415$3,369
61225Appendectomy$27,850$12,533$7,798
62197Peripheral and Other Vascular Disorders$18,337$8,252$5,134
63021Craniotomy Except For TraumaNRNRNR
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,317$13,193$8,209
65566Other Antepartum Diagnoses$7,925$3,566$2,219
66163Heart Valve Procedures without Cardiac Catheterization$138,603$62,371$38,809
67204Fainting and Collapse$15,082$6,787$4,223
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,703$5,716$3,557
69052Nontraumatic stupor & coma$11,524$5,186$3,227
70055Head trauma w coma >1 hr or hemorrhage$11,917$5,363$3,337
71755Neuroses Other Than Depression$5,816$2,617$1,628
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,038$9,017$5,611
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,817$6,218$3,869
74198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$13,525$6,086$3,787
75422HypovolemiaNRNRNR

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 2014 - March 2015
 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)$10,227$4,602$2,864$10,203$4,591$2,857
Colonoscopy and Biopsy 45380)$5,194$2,337$1,454$5,608$2,524$1,570
Upper GI Endoscopy with Biopsy 43239)$6,059$2,727$1,697$6,405$2,882$1,793
Lesion Removal Colonoscopy by Snare Technique 45385)$5,179$2,331$1,450$5,528$2,488$1,548
Diagnostic Colonoscopy 45378)$4,713$2,121$1,320$4,876$2,194$1,365
Injection into Lumbar or Sacral Area, Single Level 64483)$1,510$679$423$2,962$1,333$829
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,713$1,671$1,040$5,820$2,619$1,629
Drain/Inject Major Joint or Bursa 20610)$1,444$650$404$3,734$1,680$1,046
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,802$2,161$1,345$4,837$2,176$1,354
Carpal Tunnel Surgery 64721)$9,010$4,055$2,523$14,871$6,692$4,164
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,272$9,573$5,956$21,588$9,715$6,045
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,803$2,161$1,345$4,693$2,112$1,314
Uppr GI Endoscopy- Diagnostic 43235)$5,686$2,559$1,592$5,675$2,554$1,589
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,983$2,242$1,395$5,179$2,331$1,450
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$3,769$1,696$1,055$5,303$2,386$1,485
Left Heart Artery/Ventricle Angiography 93458)$24,765$11,144$6,934NRNRNR
Creation of Eardrum Opening 69436)$7,590$3,416$2,125$7,603$3,421$2,129
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,139$1,412$879$4,120$1,854$1,154
Laparoscopic Cholecystectomy 47562)$19,219$8,649$5,381$47,634$21,435$13,338
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)$1,424$641$399NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$11,091$4,991$3,105$14,604$6,572$4,089
Cataract Surgery- Complex 66982)$11,088$4,990$3,105$11,306$5,088$3,166
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,980$2,241$1,394$10,939$4,922$3,063
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,064$6,329$3,938$16,742$7,534$4,688
Arthroscopic Rotator Cuff Repair 29827)$29,043$13,069$8,132$28,772$12,948$8,056
Hysteroscopy with Biopsy 58558)$10,355$4,660$2,899$10,088$4,540$2,825
ABD Paracentesis w/Imaging 49083)$2,399$1,079$672$8,543$3,844$2,392
Unlisted Cystourethoscopy 52000)$9,056$4,075$2,536$7,963$3,584$2,230
Esophageal Endoscopy with Dilation 43249)$6,254$2,814$1,751$6,531$2,939$1,829
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$867$390$243NRNRNR
Incision of Finger Tendon Sheath 26055)NRNRNR$8,978$4,040$2,514
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,136$5,011$3,118$35,216$15,847$9,861
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,957$9,881$6,148$25,855$11,635$7,239
Cystourethroscopy with Lithotripsy and Stent 52356)$30,894$13,902$8,650$32,607$14,673$9,130
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,415$9,637$5,996$21,448$9,652$6,006
Laparoscopic Hernia Repair - Initial 49650)$14,587$6,564$4,084$16,450$7,402$4,606
Uppr GI Endoscopy with Guide Wire 43248)$5,958$2,681$1,668$6,705$3,017$1,877
Destruction of Benign Lesions up to 14 Lesions 17110)$14,427$6,492$4,040NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,791$2,156$1,341$9,181$4,131$2,571
Laparoscopic Appendectomy 44970)$27,178$12,230$7,610$31,176$14,029$8,729
Cystourethroscopy with Stent 52332)$12,533$5,640$3,509$17,476$7,864$4,893
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,434$1,996$1,242$5,982$2,692$1,675
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$12,750$5,737$3,570
Fragmenting of Kidney Stone 50590)$30,707$13,818$8,598$31,678$14,255$8,870
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$857$385$240NRNRNR
Removal of Tonsils 42826)$11,230$5,053$3,144$12,232$5,505$3,425
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,224$5,501$3,423$17,136$7,711$4,798
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Mastectomy, Partial 19301)$15,103$6,797$4,229$24,929$11,218$6,980
Coronary Artery Angio S&I 93454)$38,301$17,236$10,724NRNRNR
Hysteroscopy with Ablation 58563)$12,023$5,411$3,367$26,388$11,875$7,389
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,790$12,505$7,781$42,224$19,001$11,823
Needle Biopsy of Liver 47000)$5,627$2,532$1,576NRNRNR
Debridement Skin/Tissue 11042)$606$273$170$2,002$901$560
Laparoscopy, Removal of Tubes & Ovaries 58571)$38,766$17,445$10,854$52,185$23,483$14,612
Bone Marrow Biopsy 38221)$10,455$4,705$2,927$10,189$4,585$2,853
Correction of Bunion 28296)$13,658$6,146$3,824$19,144$8,615$5,360
Electro-Uroflowmetry - First 51741)NRNRNR$7,826$3,522$2,191
Aspirate Pleura with Imaging 32555)$2,318$1,043$649NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$25,137$11,312$7,038NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,820$3,969$2,470
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,903$10,306$6,413
Removal of Breast Lesion 19120)$10,642$4,789$2,980$25,316$11,392$7,089
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,025$9,911$6,167
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$861$388$241$2,415$1,087$676
Colonoscopy with Lesion Removal 45383)$3,849$1,732$1,078$8,503$3,827$2,381
Repair of Hammertoe 28285)$13,584$6,113$3,804$23,609$10,624$6,610
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.