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:  October 2015 - September 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal Delivery$1,985$814$615
3720Blood Infection/Septicemia$18,748$7,687$5,812
4302Knee Replacement$49,271$20,201$15,274
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,157$6,214$4,699
7301Hip Replacement$50,789$20,823$15,745
8139Pneumonia$11,189$4,587$3,469
9751Psychoses$10,074$4,130$3,123
10753Bipolar Disorders$13,749$5,637$4,262
11775Alcohol Abuse/Dependence$8,526$3,496$2,643
12201Heart Abnormal Rhythm and Conduction Disorders$13,833$5,672$4,288
13140Chronic Obstructive Pulmonary Disease$34,416$14,111$10,669
14383Cellulitis and Other Bacterial Skin Infections$8,111$3,326$2,514
15045Stroke and Precerebral Occlusion with Infarct$20,461$8,389$6,343
16460Renal FailureNRNRNR
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$11,438$4,690$3,546
19221Major Bowel Procedures$34,440$14,120$10,676
20754Depression$7,777$3,189$2,411
21174Angioplasty with Heart Attack$56,858$23,312$17,626
22750Schizophrenia$12,440$5,100$3,856
23420Diabetes$14,275$5,853$4,425
24247Intestinal Obstruction without Surgery$11,713$4,802$3,631
25282Disorders of Pancreas Except Malignancy$15,696$6,435$4,866
26812Poisoning of Medicinal Agents$11,089$4,546$3,438
27254Other Digestive System Diagnoses$13,543$5,553$4,198
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
30190Circulatory Disorders with Heart Attack$15,375$6,304$4,766
31773Opioid Abuse/Dependence$14,027$5,751$4,348
32173Other Vascular Procedures$67,339$27,609$20,875
33137Respiratory Infections and InflammationsNRNRNR
34053Seizure$15,339$6,289$4,755
35058Other Disorders of Nervous System$15,649$6,416$4,851
36308Hip/Thigh Surgery with Trauma Diagnosis$37,854$15,520$11,735
37263Laparoscopic Cholecystectomy$31,835$13,052$9,869
38134Pulmonary Embolism$18,491$7,581$5,732
39315Shoulder/Upper Arm, Forearm Surgery$37,113$15,216$11,505
40175Angioplasty without Heart Attack$58,656$24,049$18,183
41249GastroenteritisNRNRNR
42244Diverticulitis & Diverticulosis$11,590$4,752$3,593
43861Signs & Symptoms$4,148$1,701$1,286
44347Other Back/Neck Disorders, Fractures, Injuries$20,560$8,430$6,374
45253Other and Unspecified Gastrointestinal Hemorrhage$19,282$7,906$5,977
46313Other Knee/Lower Leg Surgery$35,746$14,656$11,081
47862Other Factors Influencing Health StatusNRNRNR
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$29,991$12,296$9,297
49351Other Musculoskeletal System and Connective Tissue Diagnoses$18,005$7,382$5,582
50241Peptic Ulcer/Gastritis$16,592$6,803$5,144
51425Other Electrolyte Disorders$14,898$6,108$4,618
52248Major G.I. Bacterial Infections$19,540$8,011$6,057
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,806$7,300$5,520
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55024Extracranial Vascular Procedures$23,612$9,681$7,320
56950Extensive Procedure Unrelated to Principal Diagnosis$34,106$13,983$10,573
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58693ChemotherapyNRNRNR
59021Craniotomy Except For TraumaNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular Disorders$17,617$7,223$5,461
62220Major Stomach/Esophagus/Duodenum Procedures$37,099$15,211$11,501
63422Hypovolemia$10,935$4,483$3,390
64225Appendectomy$30,612$12,551$9,490
65052Nontraumatic stupor & coma$20,830$8,540$6,457
66321Upper Spinal FusionNRNRNR
67141AsthmaNRNRNR
68755Neuroses Other Than Depression$7,286$2,987$2,259
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$31,632$12,969$9,806
70055Head trauma w coma >1 hr or hemorrhage$15,047$6,169$4,665
71721Postoperative and Post-Traumatic Infections$11,983$4,913$3,715
72163Heart Valve Procedures without Cardiac Catheterization$139,041$57,007$43,103
73204Fainting and Collapse$6,698$2,746$2,076
74639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR
75756Acute Adjust React Psychosocial Dysfunction$6,494$2,663$2,013

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:  October 2015 - September 2016
 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)$10,480$4,297$3,249$12,465$5,111$3,864
Colonoscopy and Biopsy 45380)$5,367$2,200$1,664$6,887$2,824$2,135
Lesion Removal Colonoscopy by Snare Technique 45385)$5,324$2,183$1,651$6,886$2,823$2,135
Upper GI Endoscopy with Biopsy 43239)$6,353$2,605$1,969$8,241$3,379$2,555
Diagnostic Colonoscopy 45378)$4,842$1,985$1,501$9,505$3,897$2,946
Injection into Lumbar or Sacral Area, Single Level 64483)$1,911$784$593$2,538$1,041$787
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,210$1,726$1,305$4,945$2,028$1,533
Drain/Inject Major Joint or Bursa 20610)$1,584$649$491$34,917$14,316$10,824
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,842$1,985$1,501$10,280$4,215$3,187
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,830$1,980$1,497$9,735$3,991$3,018
Carpal Tunnel Surgery 64721)$11,315$4,639$3,508NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,678$9,298$7,030$22,481$9,217$6,969
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,658$1,910$1,444$6,142$2,518$1,904
Uppr GI Endoscopy- Diagnostic 43235)$5,737$2,352$1,779$9,451$3,875$2,930
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,224$2,142$1,620$5,593$2,293$1,734
Creation of Eardrum Opening 69436)$8,366$3,430$2,593$16,171$6,630$5,013
Left Heart Artery/Ventricle Angiography 93458)$25,546$10,474$7,919NRNRNR
Unlisted Dental Surgery Procedure 41899)$10,230$4,194$3,171NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,037$1,245$942$4,930$2,021$1,528
After Cataract Laser Surgery 66821)$1,505$617$467$1,479$606$458
Laparoscopic Cholecystectomy 47562)$23,218$9,519$7,198NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,791$1,964$1,485$11,808$4,841$3,660
ABD Paracentesis w/Imaging 49083)$2,485$1,019$770$10,974$4,499$3,402
Removal of Tonsils And Adenoids - < Age 12 42820)$12,763$5,233$3,957NRNRNR
Cataract Surgery- Complex 66982)$11,757$4,821$3,645$10,578$4,337$3,279
Esophageal Endoscopy with Dilation 43249)$6,739$2,763$2,089$7,028$2,882$2,179
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$11,090$4,547$3,438$35,038$14,366$10,862
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,811$743$561$6,962$2,854$2,158
Cystourethroscopy with Lithotripsy and Stent 52356)$33,176$13,602$10,285$32,443$13,301$10,057
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,495$5,943$4,493$16,123$6,610$4,998
Incision of Finger Tendon Sheath 26055)$7,587$3,111$2,352NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,020$6,568$4,966$19,517$8,002$6,050
Unlisted Cystourethoscopy 52000)$9,371$3,842$2,905$8,549$3,505$2,650
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,854$8,960$6,775$23,351$9,574$7,239
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,986$5,324$4,026$28,502$11,686$8,836
Uppr GI Endoscopy with Guide Wire 43248)$6,436$2,639$1,995$6,468$2,652$2,005
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,854$1,580$1,195NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,408$9,187$6,947NRNRNR
Laparoscopic Appendectomy 44970)$30,372$12,453$9,415$30,078$12,332$9,324
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,994$2,048$1,548$10,039$4,116$3,112
Cystourethroscopy with Stent 52332)$11,932$4,892$3,699$15,347$6,292$4,758
Removal of Tonsils 42826)$11,784$4,832$3,653$11,096$4,549$3,440
Laparoscopy - Removal of Adnexal Structures 58661)$26,072$10,690$8,082$29,863$12,244$9,258
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$918$376$285NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,696$5,616$4,246$19,050$7,811$5,906
Mastectomy, Partial 19301)$13,591$5,572$4,213$26,999$11,069$8,370
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$15,218$6,239$4,717$14,583$5,979$4,521
Fragmenting of Kidney Stone 50590)$31,888$13,074$9,885$32,389$13,280$10,041
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,484$14,549$11,000$40,563$16,631$12,574
Needle Biopsy of Liver 47000)$6,292$2,580$1,951NRNRNR
Aspirate Pleura with Imaging 32555)$2,409$988$747NRNRNR
Coronary Artery Angio S&I 93454)$39,243$16,090$12,165NRNRNR
Debridement Skin/Tissue 11042)$636$261$197$1,082$443$335
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$13,768$5,645$4,268NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$14,524$5,955$4,502
Bone Marrow Biopsy 38221)$12,265$5,029$3,802$11,470$4,703$3,556
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$16,264$6,668$5,042$32,500$13,325$10,075
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$25,274$10,362$7,835
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$27,116$11,118$8,406NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,839$4,034$3,050$7,085$2,905$2,196
Removal of Adenoids 42830)$10,983$4,503$3,405$9,399$3,854$2,914
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$1,269$520$393NRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$351$144$109$576$236$179
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.