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:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$16,999$6,970$5,270
4302Knee Replacement$51,387$21,069$15,930
5540Cesarean DeliveryNRNRNR
6194Heart Failure$15,414$6,320$4,778
7301Hip Replacement$54,731$22,440$16,967
8751Psychoses$9,972$4,089$3,091
9139Pneumonia$7,605$3,118$2,358
10753Bipolar Disorders$13,232$5,425$4,102
11775Alcohol Abuse/Dependence$8,857$3,631$2,746
12140Chronic Obstructive Pulmonary Disease$34,416$14,111$10,669
13201Heart Abnormal Rhythm and Conduction Disorders$12,207$5,005$3,784
14045Stroke and Precerebral Occlusion with Infarct$20,461$8,389$6,343
15383Cellulitis & other skin infections$8,091$3,317$2,508
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$12,637$5,181$3,917
18221Major Bowel Procedures$35,625$14,606$11,044
19174Percutaneous coronary intervention w AMI$58,313$23,908$18,077
20754Depression$7,444$3,052$2,308
21460Renal FailureNRNRNR
22750Schizophrenia$12,726$5,218$3,945
23420Diabetes$15,347$6,292$4,758
24282Disorders of Pancreas Except Malignancy$15,588$6,391$4,832
25247Intestinal Obstruction without Surgery$12,599$5,166$3,906
26812Poisoning of Medicinal Agents$11,089$4,546$3,438
27254Other Digestive System Diagnoses$15,846$6,497$4,912
28710Infectious & parasitic diseases including HIV w O.R. procedure$17,496$7,173$5,424
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
30190Circulatory Disorders with Heart Attack$13,907$5,702$4,311
31773Opioid Abuse/Dependence$7,595$3,114$2,354
32053Seizure$17,381$7,126$5,388
33137Respiratory Infections and Inflammations$6,916$2,836$2,144
34058Other Disorders of Nervous SystemNRNRNR
35308Hip & femur fracture repair$37,854$15,520$11,735
36175Percutaneous coronary intervention w/o AMI$58,656$24,049$18,183
37263Laparoscopic Cholecystectomy$33,093$13,568$10,259
38134Pulmonary Embolism$33,388$13,689$10,350
39249Other gastroenteritis, nausea & vomitingNRNRNR
40244Diverticulitis & Diverticulosis$11,590$4,752$3,593
41315Shoulder, upper arm & forearm procedures except joint replacement$49,288$20,208$15,279
42861Signs & Symptoms$4,148$1,701$1,286
43347Other Back/Neck Disorders, Fractures, Injuries$19,623$8,045$6,083
44173Other Vascular Procedures$73,421$30,103$22,761
45253Other and Unspecified Gastrointestinal Hemorrhage$19,282$7,906$5,977
46313Other Knee/Lower Leg Surgery$35,746$14,656$11,081
47351Other Musculoskeletal System and Connective Tissue Diagnoses$19,122$7,840$5,928
48241Peptic Ulcer/Gastritis$16,664$6,832$5,166
49425Other Electrolyte Disorders$15,119$6,199$4,687
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health StatusNRNRNR
52248Major G.I. Bacterial Infections$19,385$7,948$6,009
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,159$6,215$4,699
54024Extracranial Vascular Procedures$23,612$9,681$7,320
55192Cardiac catheterization for other non-coronary conditions$33,425$13,704$10,362
56191Cardiac catheterization for coronary artery disease$45,516$18,662$14,110
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59566Other Antepartum DiagnosesNRNRNR
60197Peripheral and Other Vascular DisordersNRNRNR
61321Upper Spinal FusionNRNRNR
62422HypovolemiaNRNRNR
63052Nontraumatic stupor & coma$30,690$12,583$9,514
64225Appendectomy$26,971$11,058$8,361
65950Extensive Procedure Unrelated to Principal Diagnosis$34,106$13,983$10,573
66220Major Stomach/Esophagus/Duodenum Procedures$37,099$15,211$11,501
67055Head trauma w coma >1 hr or hemorrhage$15,047$6,169$4,665
68141Asthma$11,470$4,703$3,556
69721Postoperative and Post-Traumatic Infections$10,842$4,445$3,361
70755Neuroses Other Than Depression$6,441$2,641$1,997
71163Cardiac valve procedures w/o AMI or complex PDX$139,041$57,007$43,103
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$46,743$19,165$14,490
73166Coronary bypass w/o AMI or complex PDX$122,681$50,299$38,031
74204Fainting and Collapse$6,698$2,746$2,076
75144Respiratory System Signs, Symptoms and Minor DiagnosesNRNRNR

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:  January 2016 - December 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)$10,376$4,254$3,217$12,648$5,186$3,921
Colonoscopy and Biopsy 45380)$5,486$2,249$1,701$6,462$2,649$2,003
Lesion Removal Colonoscopy by Snare Technique 45385)$5,471$2,243$1,696$8,081$3,313$2,505
Upper GI Endoscopy with Biopsy 43239)$6,390$2,620$1,981$8,389$3,440$2,601
Diagnostic Colonoscopy 45378)$4,878$2,000$1,512$9,653$3,958$2,992
Injection into Lumbar or Sacral Area, Single Level 64483)$1,915$785$594$2,567$1,052$796
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,408$1,807$1,366$4,951$2,030$1,535
Drain/Inject Major Joint or Bursa 20610)$1,584$649$491NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,063$2,076$1,569$10,248$4,202$3,177
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,930$2,021$1,528$9,345$3,831$2,897
Carpal Tunnel Surgery 64721)$11,747$4,816$3,642$11,785$4,832$3,653
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$22,436$9,199$6,955$22,479$9,216$6,968
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$4,980$2,042$1,544$6,411$2,629$1,988
Uppr GI Endoscopy- Diagnostic 43235)$5,741$2,354$1,780$9,451$3,875$2,930
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,523$2,265$1,712$5,521$2,264$1,712
Creation of Eardrum Opening 69436)$8,374$3,433$2,596$16,975$6,960$5,262
Left Heart Artery/Ventricle Angiography 93458)$25,622$10,505$7,943NRNRNR
Unlisted Dental Surgery Procedure 41899)$10,230$4,194$3,171NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,676$1,097$830$5,610$2,300$1,739
After Cataract Laser Surgery 66821)$1,740$713$539NRNRNR
Laparoscopic Cholecystectomy 47562)$23,151$9,492$7,177NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,894$2,006$1,517$11,822$4,847$3,665
ABD Paracentesis w/Imaging 49083)$2,518$1,032$781NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$14,363$5,889$4,453$16,303$6,684$5,054
Esophageal Endoscopy with Dilation 43249)$6,487$2,660$2,011$6,868$2,816$2,129
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$11,117$4,558$3,446NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$899$368$279$4,124$1,691$1,278
Hysteroscopy with Biopsy 58558)$11,233$4,605$3,482$23,442$9,611$7,267
Cystourethroscopy with Lithotripsy and Stent 52356)$33,579$13,768$10,410$32,443$13,301$10,057
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,530$5,957$4,504$21,721$8,906$6,734
Incision of Finger Tendon Sheath 26055)$8,497$3,484$2,634NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,178$6,633$5,015$19,752$8,098$6,123
Unlisted Cystourethoscopy 52000)$9,056$3,713$2,807$8,629$3,538$2,675
Uppr GI Endoscopy with Guide Wire 43248)$6,444$2,642$1,998$6,468$2,652$2,005
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,707$5,620$4,249$27,643$11,334$8,569
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,095$9,059$6,850$24,224$9,932$7,509
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,593$1,473$1,114$3,070$1,259$952
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$22,460$9,208$6,963NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$30,249$12,402$9,377$30,078$12,332$9,324
Cystourethroscopy with Stent 52332)$12,875$5,279$3,991$18,496$7,583$5,734
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,091$2,087$1,578$10,039$4,116$3,112
Laparoscopy - Removal of Adnexal Structures 58661)$26,889$11,024$8,336$30,246$12,401$9,376
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,105$5,783$4,372$20,625$8,456$6,394
Mastectomy, Partial 19301)$13,591$5,572$4,213$26,057$10,683$8,078
Removal of Tonsils 42826)$12,133$4,975$3,761NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$918$376$285NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,697$14,636$11,066$40,287$16,518$12,489
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$11,501$4,716$3,565$12,517$5,132$3,880
Fragmenting of Kidney Stone 50590)$32,241$13,219$9,995$33,293$13,650$10,321
Needle Biopsy of Liver 47000)$7,477$3,066$2,318NRNRNR
Aspirate Pleura with Imaging 32555)$2,151$882$667$4,473$1,834$1,387
Coronary Artery Angio S&I 93454)$37,069$15,198$11,492NRNRNR
Debridement Skin/Tissue 11042)$642$263$199$878$360$272
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$12,723$5,216$3,944$11,844$4,856$3,672
Correction of Bunion 28296)$19,709$8,081$6,110$31,157$12,774$9,659
Hysteroscopy with Ablation 58563)$14,049$5,760$4,355NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNR$15,747$6,456$4,881
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$25,274$10,362$7,835
Right and Left Heart Artery/Ventricle Angiography 93460)$27,152$11,132$8,417NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$8,500$3,485$2,635$7,085$2,905$2,196
Removal of Adenoids 42830)$10,983$4,503$3,405NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$1,269$520$393NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
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.