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$5,620$3,299
4302Knee Replacement$43,170$19,858$11,656
5540Cesarean DeliveryNRNRNR
6194Heart Failure$10,443$4,804$2,820
7139Pneumonia$13,690$6,297$3,696
8301Hip Replacement$47,109$21,670$12,719
9751Psychoses$8,764$4,031$2,366
10753Bipolar Disorders$10,245$4,713$2,766
11140Chronic Obstructive Pulmonary Disease$12,169$5,598$3,286
12201Heart Abnormal Rhythm and Conduction Disorders$12,043$5,540$3,252
13775Alcohol Abuse/Dependence$9,487$4,364$2,561
14383Cellulitis and Other Bacterial Skin Infections$10,575$4,865$2,855
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,102$7,407$4,348
17463Kidney/Urinary Tract Infection$11,070$5,092$2,989
18860RehabilitationNRNRNR
19221Major Bowel Procedures$35,070$16,132$9,469
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$10,380$4,775$2,803
22174Angioplasty with Heart Attack$51,808$23,832$13,988
23254Other Digestive System Diagnoses$13,850$6,371$3,740
24247Intestinal Obstruction without Surgery$11,305$5,200$3,052
25282Disorders of Pancreas Except Malignancy$10,833$4,983$2,925
26420Diabetes$9,241$4,251$2,495
27249Gastroenteritis$10,073$4,634$2,720
28754Depression$5,915$2,721$1,597
29053Seizure$17,442$8,023$4,709
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$60,185$27,685$16,250
31812Poisoning of Medicinal Agents$7,708$3,546$2,081
32137Respiratory Infections and Inflammations$19,825$9,120$5,353
33134Pulmonary Embolism$12,499$5,750$3,375
34190Circulatory Disorders with Heart Attack$27,557$12,676$7,440
35308Hip/Thigh Surgery with Trauma Diagnosis$37,240$17,130$10,055
36173Other Vascular Procedures$55,912$25,720$15,096
37175Angioplasty without Heart Attack$55,019$25,309$14,855
38263Laparoscopic Cholecystectomy$30,030$13,814$8,108
39425Other Electrolyte Disorders$10,480$4,821$2,830
40244Diverticulitis & Diverticulosis$10,674$4,910$2,882
41347Other Back/Neck Disorders, Fractures, Injuries$10,858$4,995$2,932
42861Signs & Symptoms$13,910$6,399$3,756
43241Peptic Ulcer/Gastritis$17,162$7,895$4,634
44315Shoulder/Upper Arm, Forearm Surgery$31,322$14,408$8,457
45253Other and Unspecified Gastrointestinal Hemorrhage$11,640$5,354$3,143
46313Other Knee/Lower Leg Surgery$35,304$16,240$9,532
47141Asthma$10,489$4,825$2,832
48351Other Musculoskeletal System and Connective Tissue Diagnoses$9,564$4,399$2,582
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,815$8,195$4,810
50773Opioid Abuse/Dependence$8,979$4,130$2,424
51248Major G.I. Bacterial Infections$23,252$10,696$6,278
52710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$32,488$14,944$8,772
54693ChemotherapyNRNRNR
55466Malfunction, reaction, complic of genitourinary device or procNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,935$4,570$2,682
57024Extracranial Vascular Procedures$20,828$9,581$5,624
58321Upper Spinal Fusion$38,760$17,830$10,465
59721Postoperative and Post-Traumatic Infections$7,537$3,467$2,035
60144Respiratory System Signs, Symptoms and Minor Diagnoses$12,033$5,535$3,249
61225Appendectomy$27,850$12,811$7,520
62197Peripheral and Other Vascular Disorders$18,337$8,435$4,951
63021Craniotomy Except For TraumaNRNRNR
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,317$13,486$7,916
65566Other Antepartum Diagnoses$7,925$3,646$2,140
66163Heart Valve Procedures without Cardiac Catheterization$138,603$63,757$37,423
67204Fainting and Collapse$15,082$6,938$4,072
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,703$5,843$3,430
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$5,816$2,675$1,570
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,038$9,217$5,410
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,817$6,356$3,731
74198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$13,525$6,222$3,652
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$4,704$2,761$10,203$4,693$2,755
Colonoscopy and Biopsy 45380)$5,194$2,389$1,402$5,608$2,580$1,514
Upper GI Endoscopy with Biopsy 43239)$6,059$2,787$1,636$6,405$2,946$1,729
Lesion Removal Colonoscopy by Snare Technique 45385)$5,179$2,383$1,398$5,528$2,543$1,493
Diagnostic Colonoscopy 45378)$4,713$2,168$1,273$4,876$2,243$1,317
Injection into Lumbar or Sacral Area, Single Level 64483)$1,510$695$408$2,962$1,362$800
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$3,713$1,708$1,002$5,820$2,677$1,571
Drain/Inject Major Joint or Bursa 20610)$1,444$664$390$3,734$1,718$1,008
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,802$2,209$1,297$4,837$2,225$1,306
Carpal Tunnel Surgery 64721)$9,010$4,145$2,433$14,871$6,840$4,015
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$21,272$9,785$5,744$21,588$9,931$5,829
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,803$2,210$1,297$4,693$2,159$1,267
Uppr GI Endoscopy- Diagnostic 43235)$5,686$2,616$1,535$5,675$2,611$1,532
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,983$2,292$1,345$5,179$2,383$1,398
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$3,769$1,734$1,018$5,303$2,440$1,432
Left Heart Artery/Ventricle Angiography 93458)$24,765$11,392$6,687NRNRNR
Creation of Eardrum Opening 69436)$7,590$3,492$2,049$7,603$3,497$2,053
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$3,139$1,444$847$4,120$1,895$1,112
Laparoscopic Cholecystectomy 47562)$19,219$8,841$5,189$47,634$21,912$12,861
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)$1,424$655$384NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$11,091$5,102$2,995$14,604$6,718$3,943
Cataract Surgery- Complex 66982)$11,088$5,101$2,994$11,306$5,201$3,053
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,980$2,291$1,344$10,939$5,032$2,953
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,064$6,469$3,797$16,742$7,701$4,520
Arthroscopic Rotator Cuff Repair 29827)$29,043$13,360$7,842$28,772$13,235$7,769
Hysteroscopy with Biopsy 58558)$10,355$4,763$2,796$10,088$4,640$2,724
ABD Paracentesis w/Imaging 49083)$2,399$1,103$648$8,543$3,930$2,307
Unlisted Cystourethoscopy 52000)$9,056$4,166$2,445$7,963$3,663$2,150
Esophageal Endoscopy with Dilation 43249)$6,254$2,877$1,689$6,531$3,004$1,763
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$867$399$234NRNRNR
Incision of Finger Tendon Sheath 26055)NRNRNR$8,978$4,130$2,424
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,136$5,123$3,007$35,216$16,199$9,508
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,957$10,100$5,928$25,855$11,893$6,981
Cystourethroscopy with Lithotripsy and Stent 52356)$30,894$14,211$8,341$32,607$14,999$8,804
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$21,415$9,851$5,782$21,448$9,866$5,791
Laparoscopic Hernia Repair - Initial 49650)$14,587$6,710$3,939$16,450$7,567$4,441
Uppr GI Endoscopy with Guide Wire 43248)$5,958$2,740$1,609$6,705$3,084$1,810
Destruction of Benign Lesions up to 14 Lesions 17110)$14,427$6,637$3,895NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$4,791$2,204$1,294$9,181$4,223$2,479
Laparoscopic Appendectomy 44970)$27,178$12,502$7,338$31,176$14,341$8,417
Cystourethroscopy with Stent 52332)$12,533$5,765$3,384$17,476$8,039$4,718
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,434$2,040$1,197$5,982$2,752$1,615
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$12,750$5,865$3,442
Fragmenting of Kidney Stone 50590)$30,707$14,125$8,291$31,678$14,572$8,553
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$857$394$231NRNRNR
Removal of Tonsils 42826)$11,230$5,166$3,032$12,232$5,627$3,303
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,224$5,623$3,301$17,136$7,882$4,627
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Mastectomy, Partial 19301)$15,103$6,948$4,078$24,929$11,468$6,731
Coronary Artery Angio S&I 93454)$38,301$17,619$10,341NRNRNR
Hysteroscopy with Ablation 58563)$12,023$5,531$3,246$26,388$12,139$7,125
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,790$12,783$7,503$42,224$19,423$11,401
Needle Biopsy of Liver 47000)$5,627$2,589$1,519NRNRNR
Debridement Skin/Tissue 11042)$606$279$164$2,002$921$540
Laparoscopy, Removal of Tubes & Ovaries 58571)$38,766$17,832$10,467$52,185$24,005$14,090
Bone Marrow Biopsy 38221)$10,455$4,809$2,823$10,189$4,687$2,751
Correction of Bunion 28296)$13,658$6,283$3,688$19,144$8,806$5,169
Electro-Uroflowmetry - First 51741)NRNRNR$7,826$3,600$2,113
Aspirate Pleura with Imaging 32555)$2,318$1,066$626NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$25,137$11,563$6,787NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,820$4,057$2,381
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,903$10,535$6,184
Removal of Breast Lesion 19120)$10,642$4,895$2,873$25,316$11,645$6,835
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$22,025$10,132$5,947
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$861$396$233$2,415$1,111$652
Colonoscopy with Lesion Removal 45383)$3,849$1,771$1,039$8,503$3,912$2,296
Repair of Hammertoe 28285)$13,584$6,249$3,668$23,609$10,860$6,374
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.