Columbia St Mary's Inc - Ozaukee Campus
13111 N Port Washington Rd
Mequon, WI 53097
262-243-7300


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3302Knee Replacement$42,888$19,728$12,866
4720Blood Infection/Septicemia$7,905$3,636$2,372
5540Cesarean DeliveryNRNRNR
6139Pneumonia$11,628$5,349$3,488
7194Heart Failure$11,471$5,277$3,441
8301Hip Replacement$48,723$22,413$14,617
9751Psychoses$9,309$4,282$2,793
10140Chronic Obstructive Pulmonary Disease$13,125$6,038$3,938
11753Bipolar Disorders$10,636$4,893$3,191
12201Heart Abnormal Rhythm and Conduction Disorders$8,909$4,098$2,673
13383Cellulitis and Other Bacterial Skin Infections$9,250$4,255$2,775
14775Alchohol Abuse/Dependence$8,274$3,806$2,482
15460Renal Failure$10,180$4,683$3,054
16463Kidney/Urinary Tract Infection$11,449$5,267$3,435
17045Stroke and Precerebral Occlusion with Infarct$15,088$6,940$4,526
18860RehabilitationNRNRNR
19221Major Bowel Procedures$34,551$15,893$10,365
20175Angioplasty without Heart Attack$54,385$25,017$16,316
21174Angioplasty with Heart Attack$52,319$24,067$15,696
22750Schizophrenia$9,907$4,557$2,972
23254Other Digestive System Diagnoses$12,554$5,775$3,766
24133Pulmonary Edema/Respiratory FailureNRNRNR
25249Gastroenteritis$11,650$5,359$3,495
26247Intestinal Obstruction without Surgery$11,538$5,307$3,461
27420Diabetes$12,716$5,849$3,815
28754Depression$5,908$2,718$1,772
29812Poisoning of Medicinal Agents$7,738$3,559$2,321
30282Disorders of Pancreas Except Malignancy$14,734$6,778$4,420
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$46,954$21,599$14,086
32137Respiratory Infections and Inflammations$18,254$8,397$5,476
33053Seizure$11,841$5,447$3,552
34263Laparoscopic Cholecystectomy$32,921$15,144$9,876
35134Pulmonary Embolism$13,056$6,006$3,917
36308Hip/Thigh Surgery with Trauma Diagnosis$34,402$15,825$10,321
37173Other Vascular Procedures$48,531$22,324$14,559
38241Peptic Ulcer/Gastritis$17,347$7,980$5,204
39861Signs & Symptoms$13,677$6,291$4,103
40244Diverticulitis & Diverticulosis$10,970$5,046$3,291
41190Circulatory Disorders with Heart Attack$26,057$11,986$7,817
42425Other Electrolyte Disorders$10,259$4,719$3,078
43347Other Back/Neck Disorders, Fractures, Injuries$16,886$7,768$5,066
44313Other Knee/Lower Leg Surgery$34,033$15,655$10,210
45315Shoulder/Upper Arm, Forearm Surgery$9,266$4,262$2,780
46225Appendectomy$26,244$12,072$7,873
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$29,228$13,445$8,768
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,681$6,753$4,404
49141Asthma$15,913$7,320$4,774
50351Other Musculoskeletal System and Connective Tissue Diagnoses$14,247$6,554$4,274
51253Other and Unspecified Gastrointestinal Hemorrhage$10,803$4,969$3,241
52513Uterine Procedures without Tumor$19,035$8,756$5,711
53198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$14,640$6,734$4,392
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$26,473$12,178$7,942
55204Fainting and Collapse$10,921$5,024$3,276
56248Major G.I. Bacterial Infections$11,551$5,313$3,465
57321Upper Spinal Fusion$45,022$20,710$13,507
58024Extracranial Vascular Procedures$20,936$9,631$6,281
59197Peripheral and Other Vascular Disorders$17,092$7,862$5,128
60144Respiratory System Signs, Symptoms and Minor Diagnoses$10,792$4,964$3,238
61773Opioid Abuse/Dependence$8,794$4,045$2,638
62721Postoperative and Post-Traumatic Infections$12,974$5,968$3,892
63310Back/Neck Procedures Except Dorsal and Lumbar Fusion$23,568$10,841$7,070
64693ChemotherapyNRNRNR
65566Other Antepartum DiagnosesNRNRNR
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,164$5,595$3,649
67422Hypovolemia$12,118$5,574$3,635
68710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
69021Craniotomy Except For Trauma$96,575$44,425$28,973
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71047Transient Ischemia$12,194$5,609$3,658
72143Pneumothorax & Pleural Effusion$28,642$13,175$8,593
73755Neuroses Other Than Depression$7,601$3,496$2,280
74055Head trauma w coma >1 hr or hemorrhage$14,497$6,669$4,349
75163Heart Valve Procedures without Cardiac Catheterization$136,871$62,961$41,061

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 2012 - September 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$10,150$4,669$3,045$10,216$4,699$3,065
Colonoscopy and Biopsy (45380)$4,966$2,285$1,490$9,249$4,254$2,775
Diagnostic Colonoscopy (45378)$3,864$1,777$1,159$8,151$3,749$2,445
Upper GI Endoscopy with Biopsy (43239)$5,667$2,607$1,700$7,841$3,607$2,352
Lesion Removal Colonoscopy by Snare Technique (45385)$5,588$2,571$1,677$6,528$3,003$1,958
Injection into Lumbar or Sacral Area, Single Level (64483)$1,456$670$437$1,868$859$560
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$3,182$1,464$955$5,576$2,565$1,673
Drain/Inject Major Joint or Bursa (20610)$1,444$664$433NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,864$1,777$1,159$3,893$1,791$1,168
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$20,791$9,564$6,237$21,360$9,826$6,408
Carpal Tunnel Surgery (64721)$8,968$4,125$2,690$10,934$5,030$3,280
Uppr GI Endoscopy- Diagnostic (43235)$4,550$2,093$1,365$6,328$2,911$1,898
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,877$1,784$1,163$3,888$1,789$1,167
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,902$2,255$1,470$8,827$4,061$2,648
Creation of Eardrum Opening (69436)$7,587$3,490$2,276$13,375$6,152$4,012
Left Heart Artery/Ventricle Angiography  (93458)$23,326$10,730$6,998$21,240$9,771$6,372
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$2,757$1,268$827$4,022$1,850$1,207
Laparoscopic Cholecystectomy (47562)$19,399$8,924$5,820$29,842$13,727$8,953
Unlisted Dental Surgery Procedure (41899)$10,797$4,967$3,239NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$3,437$1,581$1,031$4,597$2,115$1,379
After Cataract Laser Surgery (66821)$1,406$647$422NRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$12,512$5,755$3,754$11,989$5,515$3,597
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$14,113$6,492$4,234$16,254$7,477$4,876
Percutaneous Breast Biopsy with Device and Imaging (19103)$5,819$2,677$1,746$6,262$2,880$1,879
Unlisted Cystourethoscopy (52000)$8,504$3,912$2,551$7,820$3,597$2,346
Cataract Surgery- Complex (66982)$11,203$5,153$3,361$11,554$5,315$3,466
Arthroscopic Rotator Cuff Repair (29827)$25,075$11,535$7,523$30,931$14,228$9,279
Hysteroscopy with Biopsy (58558)$10,297$4,737$3,089$10,592$4,872$3,178
Esophageal Endoscopy with Dilation (43249)$5,545$2,551$1,664$6,556$3,016$1,967
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$22,411$10,309$6,723$23,059$10,607$6,918
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$20,814$9,574$6,244$21,782$10,020$6,535
ABD Paracentesis w/Imaging (49083)$2,533$1,165$760$3,908$1,798$1,172
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,662$5,365$3,499$22,631$10,410$6,789
Incision of Finger Tendon Sheath (26055)$4,495$2,068$1,349NRNRNR
Uppr GI Endoscopy with Guide Wire (43248)$6,713$3,088$2,014$7,787$3,582$2,336
Cystourethroscopy with Lithotripsy (52353)$28,522$13,120$8,557$31,796$14,626$9,539
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$15,503$7,131$4,651$16,669$7,668$5,001
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair of Nasal Septum (30520)$10,361$4,766$3,108$12,590$5,792$3,777
Cystourethroscopy with Stent (52332)$11,486$5,283$3,446$30,822$14,178$9,247
Removal of Tonsils (42826)$11,133$5,121$3,340$11,053$5,084$3,316
Percutaneous Breast Biopsy with Imaging (19102)$4,074$1,874$1,222$7,019$3,229$2,106
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$27,305$12,560$8,191$29,155$13,411$8,746
Fragmenting of Kidney Stone (50590)$29,885$13,747$8,966$30,564$14,059$9,169
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$12,896$5,932$3,869$12,278$5,648$3,683
Laparoscopic Appendectomy (44970)$25,236$11,609$7,571$27,163$12,495$8,149
Hysteroscopy with Ablation (58563)$11,282$5,190$3,384$8,549$3,932$2,565
Correction of Bunion (28296)$13,062$6,008$3,919$15,538$7,148$4,661
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$2,583$1,188$775$6,215$2,859$1,864
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$826$380$248NRNRNR
Colonoscopy with Lesion Removal (45383)$5,327$2,451$1,598$6,210$2,857$1,863
Needle Biopsy of Liver (47000)$5,742$2,641$1,723$6,080$2,797$1,824
Mastectomy, Partial (19301)$13,402$6,165$4,021$24,035$11,056$7,211
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$8,299$3,818$2,490$9,166$4,216$2,750
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$648$298$194$19,302$8,879$5,791
Laparoscopy - Removal of Adnexal Structures (58661)$25,516$11,737$7,655NRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)$3,758$1,729$1,128$4,755$2,187$1,427
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$32,090$14,761$9,627NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$28,169$12,958$8,451NRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$14,007$6,443$4,202$13,728$6,315$4,118
Removal of Breast Lesion (19120)$10,116$4,653$3,035$19,555$8,995$5,867
Debridement, Open Wound <= 20 Square Centimeters (97597)$308$142$92$504$232$151
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)$6,363$2,927$1,909NRNRNR
Electro-Uroflowmetry - First (51741)NRNRNR$7,926$3,646$2,378
Removal of Adenoids (42830)$9,967$4,585$2,990$9,780$4,499$2,934
Removal of Central Venous Device w Port or Pump (36590)$872$401$262$2,352$1,082$706
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$26,094$12,003$7,828$29,146$13,407$8,744
Repair Rotator Cuff, Chronic (23412)$22,641$10,415$6,792$27,489$12,645$8,247
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)NRNRNRNRNRNR
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)$308$142$92$4,971$2,286$1,491

NR = No Cases Reported
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.

Copyright © 2010, WHA Information Center, All rights reserved.