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 2014 - June 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$12,704$5,844$3,430
4302Knee Replacement$43,488$20,004$11,742
5540Cesarean DeliveryNRNRNR
6194Heart Failure$9,957$4,580$2,688
7139Pneumonia$12,116$5,573$3,271
8301Hip Replacement$47,196$21,710$12,743
9751Psychoses$9,094$4,183$2,455
10753Bipolar Disorders$10,563$4,859$2,852
11140Chronic Obstructive Pulmonary Disease$9,212$4,238$2,487
12201Heart Abnormal Rhythm and Conduction Disorders$12,553$5,774$3,389
13775Alcohol Abuse/Dependence$8,892$4,090$2,401
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$10,799$4,968$2,916
16045Stroke and Precerebral Occlusion with Infarct$15,038$6,917$4,060
17463Kidney/Urinary Tract Infection$11,068$5,091$2,988
18860RehabilitationNRNRNR
19221Major Bowel Procedures$35,754$16,447$9,654
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart Attack$53,555$24,635$14,460
22750Schizophrenia$10,732$4,937$2,898
23247Intestinal Obstruction without Surgery$11,918$5,482$3,218
24254Other Digestive System Diagnoses$13,850$6,371$3,740
25282Disorders of Pancreas Except Malignancy$12,061$5,548$3,256
26420Diabetes$8,732$4,017$2,358
27249Gastroenteritis$10,949$5,037$2,956
28754Depression$6,075$2,795$1,640
29812Poisoning of Medicinal Agents$7,967$3,665$2,151
30137Respiratory Infections and Inflammations$20,936$9,631$5,653
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$60,185$27,685$16,250
32053Seizure$17,037$7,837$4,600
33134Pulmonary Embolism$12,499$5,750$3,375
34173Other Vascular Procedures$55,912$25,720$15,096
35308Hip/Thigh Surgery with Trauma Diagnosis$37,674$17,330$10,172
36190Circulatory Disorders with Heart Attack$26,716$12,289$7,213
37263Laparoscopic Cholecystectomy$30,612$14,082$8,265
38175Angioplasty without Heart Attack$58,541$26,929$15,806
39244Diverticulitis & Diverticulosis$13,783$6,340$3,721
40425Other Electrolyte Disorders$12,965$5,964$3,501
41241Peptic Ulcer/Gastritis$17,747$8,164$4,792
42861Signs & Symptoms$13,910$6,399$3,756
43347Other Back/Neck Disorders, Fractures, Injuries$10,108$4,650$2,729
44315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$21,162$9,735$5,714
46313Other Knee/Lower Leg Surgery$36,042$16,579$9,731
47141AsthmaNRNRNR
48351Other Musculoskeletal System and Connective Tissue Diagnoses$5,728$2,635$1,547
49773Opioid Abuse/Dependence$8,719$4,011$2,354
50663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$22,976$10,569$6,204
51248Major G.I. Bacterial Infections$23,637$10,873$6,382
52710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$28,661$13,184$7,738
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55693ChemotherapyNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,681$4,453$2,614
57024Extracranial Vascular Procedures$21,067$9,691$5,688
58721Postoperative and Post-Traumatic Infections$10,615$4,883$2,866
59144Respiratory System Signs, Symptoms and Minor Diagnoses$11,664$5,365$3,149
60321Upper Spinal Fusion$41,463$19,073$11,195
61225Appendectomy$30,504$14,032$8,236
62197Peripheral and Other Vascular Disorders$12,469$5,736$3,367
63021Craniotomy Except For Trauma$54,633$25,131$14,751
64143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
65566Other Antepartum DiagnosesNRNRNR
66163Heart Valve Procedures without Cardiac Catheterization$138,603$63,757$37,423
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,537$13,587$7,975
68204Fainting and Collapse$16,065$7,390$4,338
69052Nontraumatic stupor & coma$11,524$5,301$3,111
70055Head trauma w coma >1 hr or hemorrhage$11,917$5,482$3,218
71755Neuroses Other Than Depression$6,341$2,917$1,712
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$19,847$9,130$5,359
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$22,167$10,197$5,985
74422Hypovolemia$7,100$3,266$1,917
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 2014 - June 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)$10,312$4,743$2,784$10,203$4,693$2,755
Colonoscopy and Biopsy 45380)$5,194$2,389$1,403$6,001$2,760$1,620
Upper GI Endoscopy with Biopsy 43239)$6,066$2,790$1,638$6,716$3,089$1,813
Lesion Removal Colonoscopy by Snare Technique 45385)$5,194$2,389$1,402$5,623$2,587$1,518
Diagnostic Colonoscopy 45378)$4,727$2,174$1,276$5,217$2,400$1,409
Injection into Lumbar or Sacral Area, Single Level 64483)$1,735$798$468$2,803$1,290$757
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,775$1,736$1,019$4,711$2,167$1,272
Drain/Inject Major Joint or Bursa 20610)$1,445$665$390$4,744$2,182$1,281
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,801$2,208$1,296$4,838$2,226$1,306
Carpal Tunnel Surgery 64721)$9,010$4,145$2,433$17,232$7,927$4,653
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,665$2,146$1,259$4,625$2,128$1,249
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,523$9,901$5,811$22,295$10,256$6,020
Uppr GI Endoscopy- Diagnostic 43235)$5,693$2,619$1,537$5,885$2,707$1,589
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,528$2,083$1,223$5,455$2,509$1,473
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,983$2,292$1,345$5,201$2,393$1,404
Left Heart Artery/Ventricle Angiography 93458)$24,835$11,424$6,705NRNRNR
Creation of Eardrum Opening 69436)$7,812$3,594$2,109$7,603$3,497$2,053
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,568$1,181$693$4,221$1,942$1,140
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,215$8,839$5,188$47,634$21,912$12,861
After Cataract Laser Surgery 66821)$1,438$661$388NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,993$2,297$1,348$9,856$4,534$2,661
Cataract Surgery- Complex 66982)$11,130$5,120$3,005$11,379$5,234$3,072
Removal of Tonsils And Adenoids - < Age 12 42820)$11,555$5,315$3,120$14,260$6,560$3,850
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,176$6,061$3,557$16,778$7,718$4,530
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$28,772$13,235$7,769
ABD Paracentesis w/Imaging 49083)$2,403$1,105$649$8,543$3,930$2,307
Hysteroscopy with Biopsy 58558)$10,407$4,787$2,810$10,095$4,644$2,726
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$867$399$234NRNRNR
Esophageal Endoscopy with Dilation 43249)$6,193$2,849$1,672$6,803$3,129$1,837
Unlisted Cystourethoscopy 52000)$9,239$4,250$2,494$8,151$3,749$2,201
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,506$5,753$3,377$24,427$11,236$6,595
Incision of Finger Tendon Sheath 26055)NRNRNR$8,978$4,130$2,424
Cystourethroscopy with Lithotripsy and Stent 52356)$30,716$14,130$8,293$32,607$14,999$8,804
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,163$10,195$5,984$24,110$11,091$6,510
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,456$9,870$5,793$21,839$10,046$5,897
Laparoscopic Hernia Repair - Initial 49650)$14,506$6,673$3,917$17,391$8,000$4,695
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$6,275$2,886$1,694$6,699$3,082$1,809
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,791$2,204$1,294$9,880$4,545$2,668
Laparoscopic Appendectomy 44970)$27,029$12,433$7,298$29,401$13,525$7,938
Destruction of Benign Lesions up to 14 Lesions 17110)$11,483$5,282$3,100NRNRNR
Cystourethroscopy with Stent 52332)$12,605$5,799$3,403$16,267$7,483$4,392
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,848$1,770$1,039$6,263$2,881$1,691
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$867$399$234NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$30,737$14,139$8,299$31,858$14,655$8,602
Removal of Tonsils 42826)$11,273$5,186$3,044$12,232$5,627$3,303
Repair of Nasal Septum 30520)$20,487$9,424$5,531$12,749$5,864$3,442
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,735$13,678$8,028NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,271$5,645$3,313$17,666$8,126$4,770
Mastectomy, Partial 19301)$14,682$6,754$3,964$25,459$11,711$6,874
Coronary Artery Angio S&I 93454)$38,365$17,648$10,359NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,218$12,520$7,349$32,456$14,930$8,763
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$12,515$5,757$3,379$26,388$12,139$7,125
Apheresis Plasma 36514)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,659$2,603$1,528NRNRNR
Debridement Skin/Tissue 11042)$606$279$164$1,512$696$408
Laparoscopy, Removal of Tubes & Ovaries 58571)$38,611$17,761$10,425$42,937$19,751$11,593
Aspirate Pleura with Imaging 32555)$2,255$1,037$609NRNRNR
Correction of Bunion 28296)$14,233$6,547$3,843$14,990$6,896$4,047
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$25,137$11,563$6,787NRNRNR
Bone Marrow Biopsy 38221)$9,528$4,383$2,573$10,069$4,632$2,719
Electro-Uroflowmetry - First 51741)NRNRNR$7,803$3,590$2,107
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$18,431$8,478$4,976
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,903$10,535$6,184
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)$328$151$89$525$242$142
Removal of Adenoids 42830)NRNRNR$11,353$5,222$3,065
Removal of Central Venous Device w Port or Pump 36590)$863$397$233$2,415$1,111$652
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$10,866$4,998$2,934$25,316$11,645$6,835
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,820$4,057$2,381
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.