Waukesha Memorial Hospital
725 American Avenue
Waukesha, WI 53188
262-928-1000

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2016 - June 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,117$2,264$823
2560Vaginal Delivery$13,570$7,464$2,714
3720Blood Infection/Septicemia$14,930$8,212$2,986
4302Knee Replacement$52,803$29,042$10,561
5194Heart Failure$13,032$7,168$2,606
6540Cesarean Delivery$22,303$12,267$4,461
7301Hip Replacement$54,201$29,811$10,840
8751Psychoses$10,511$5,781$2,102
9139Pneumonia$13,510$7,431$2,702
10140Chronic Obstructive Pulmonary Disease$11,758$6,467$2,352
11753Bipolar Disorders$11,278$6,203$2,256
12201Heart Abnormal Rhythm and Conduction Disorders$10,434$5,739$2,087
13775Alcohol Abuse/Dependence$8,817$4,849$1,763
14383Cellulitis & other skin infections$11,327$6,230$2,265
15045Stroke and Precerebral Occlusion with Infarct$27,653$15,209$5,531
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$14,006$7,703$2,801
18221Major Bowel Procedures$61,165$33,641$12,233
19174Percutaneous coronary intervention w AMI$50,670$27,869$10,134
20750Schizophrenia$10,838$5,961$2,168
21420Diabetes$10,373$5,705$2,075
22469Acute Kidney Injury$22,488$12,368$4,498
23754Depression$15,108$8,309$3,022
24282Disorders of Pancreas Except Malignancy$14,519$7,985$2,904
25247Intestinal Obstruction without Surgery$18,936$10,415$3,787
26254Other Digestive System Diagnoses$19,720$10,846$3,944
27812Poisoning of Medicinal Agents$14,513$7,982$2,903
28308Hip & femur fracture repair$43,854$24,120$8,771
29710Infectious & parasitic diseases including HIV w O.R. procedure$20,971$11,534$4,194
30773Opioid Abuse/Dependence$10,040$5,522$2,008
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$95,315$52,423$19,063
32190Circulatory Disorders with Heart Attack$29,528$16,240$5,906
33053Seizure$16,749$9,212$3,350
34175Percutaneous coronary intervention w/o AMI$67,016$36,859$13,403
35249Other gastroenteritis, nausea & vomiting$19,921$10,957$3,984
36058Other Disorders of Nervous System$20,176$11,097$4,035
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$19,112$10,512$3,822
39263Laparoscopic Cholecystectomy$42,027$23,115$8,405
40244Diverticulitis & Diverticulosis$17,872$9,830$3,574
41192Cardiac catheterization for other non-coronary conditions$32,943$18,119$6,589
42861Signs & Symptoms$15,578$8,568$3,116
43347Other Back/Neck Disorders, Fractures, Injuries$19,123$10,518$3,825
44253Other and Unspecified Gastrointestinal Hemorrhage$19,222$10,572$3,844
45241Peptic Ulcer/Gastritis$19,769$10,873$3,954
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg Surgery$36,110$19,861$7,222
48425Other Electrolyte Disorders$8,850$4,868$1,770
49315Shoulder, upper arm & forearm procedures except joint replacement$29,203$16,062$5,841
50248Major G.I. Bacterial Infections$18,778$10,328$3,756
51351Other Musculoskeletal System and Connective Tissue Diagnoses$26,552$14,604$5,310
52951Moderately Extensive Procedure Unrelated to Diagnosis$49,212$27,067$9,842
53024Extracranial Vascular Procedures$44,542$24,498$8,908
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$10,368$5,702$2,074
55021Craniotomy Except For Trauma$61,260$33,693$12,252
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$26,872$14,780$5,374
57862Other Factors Influencing Health Status$28,490$15,670$5,698
58321Upper Spinal Fusion$68,853$37,869$13,771
59566Other Antepartum Diagnoses$9,113$5,012$1,823
60055Head trauma w coma >1 hr or hemorrhage$23,545$12,950$4,709
61422HypovolemiaNRNRNR
62166Coronary bypass w/o AMI or complex PDX$169,460$93,203$33,892
63197Peripheral and Other Vascular Disorders$14,222$7,822$2,844
64181Lower Extremity Arterial Procedures$73,838$40,611$14,768
65052Nontraumatic stupor & coma$14,156$7,786$2,831
66141Asthma$10,964$6,030$2,193
67460Renal FailureNRNRNR
68755Neuroses Other Than Depression$7,110$3,911$1,422
69225Appendectomy$34,462$18,954$6,892
70721Postoperative and Post-Traumatic Infections$9,978$5,488$1,996
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,106$9,958$3,621
72144Respiratory System Signs, Symptoms and Minor Diagnoses$13,270$7,299$2,654
73163Cardiac valve procedures w/o AMI or complex PDX$144,262$79,344$28,852
74204Fainting and Collapse$18,802$10,341$3,760
75639Neonate Birthwt >2499g with Other Significant Condition$9,268$5,097$1,854

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 2016 - June 2017
 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)NRNRNRNRNRNR
Colonoscopy and Biopsy 45380)$7,017$3,859$1,403$11,274$6,201$2,255
Lesion Removal Colonoscopy by Snare Technique 45385)$6,986$3,842$1,397$8,270$4,548$1,654
Upper GI Endoscopy with Biopsy 43239)$6,665$3,666$1,333$8,596$4,728$1,719
Diagnostic Colonoscopy 45378)$5,695$3,132$1,139$9,887$5,438$1,977
Injection into Lumbar or Sacral Area, Single Level 64483)$2,215$1,218$443$2,835$1,560$567
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$5,379$2,958$1,076$6,505$3,578$1,301
Drain/Inject Major Joint or Bursa 20610)$1,229$676$246$1,113$612$223
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,625$3,094$1,125NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,668$3,118$1,134NRNRNR
Carpal Tunnel Surgery 64721)$10,525$5,789$2,105$13,065$7,186$2,613
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,177$1,747$635$3,856$2,121$771
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,740$8,107$2,948NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$6,120$3,366$1,224$5,390$2,964$1,078
Uppr GI Endoscopy- Diagnostic 43235)$5,359$2,948$1,072$8,356$4,596$1,671
Creation of Eardrum Opening 69436)$6,963$3,830$1,393$7,990$4,394$1,598
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,718$3,695$1,344$7,571$4,164$1,514
Left Heart Artery/Ventricle Angiography 93458)$15,846$8,716$3,169$24,172$13,295$4,834
Unlisted Dental Surgery Procedure 41899)$14,285$7,857$2,857NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,479$3,013$1,096$6,560$3,608$1,312
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$22,633$12,448$4,527$25,764$14,170$5,153
ABD Paracentesis w/Imaging 49083)$2,868$1,578$574$6,139$3,376$1,228
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$6,339$3,486$1,268$10,573$5,815$2,115
Esophageal Endoscopy with Dilation 43249)$7,226$3,974$1,445$8,780$4,829$1,756
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,034$569$207$2,628$1,445$526
Removal of Tonsils And Adenoids - < Age 12 42820)$10,899$5,994$2,180$12,219$6,721$2,444
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$32,740$18,007$6,548
Hysteroscopy with Biopsy 58558)$18,211$10,016$3,642$21,158$11,637$4,232
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,235$1,779$647NRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$22,561$12,409$4,512$23,802$13,091$4,760
Incision of Finger Tendon Sheath 26055)$6,701$3,686$1,340$11,453$6,299$2,291
Laparoscopic Hernia Repair - Initial 49650)$25,421$13,982$5,084$29,367$16,152$5,873
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$22,127$12,170$4,425$26,064$14,335$5,213
Unlisted Cystourethoscopy 52000)$3,906$2,148$781$4,066$2,236$813
Uppr GI Endoscopy with Guide Wire 43248)$6,226$3,424$1,245$7,486$4,118$1,497
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,102$2,256$820$5,719$3,146$1,144
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,496$5,773$2,099$73,582$40,470$14,716
Destruction of Premalignant Lesion 17000)$148$81$30NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$17,688$9,728$3,538NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,271$13,349$4,854$29,837$16,410$5,967
Destruction of Benign Lesions up to 14 Lesions 17110)$239$131$48$20,388$11,214$4,078
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,318$5,125$1,864$17,388$9,563$3,478
Cystourethroscopy with Stent 52332)$10,411$5,726$2,082$13,774$7,575$2,755
Laparoscopy - Removal of Adnexal Structures 58661)$24,425$13,434$4,885$33,618$18,490$6,724
Mastectomy, Partial 19301)$13,740$7,557$2,748$21,791$11,985$4,358
Debridement Skin/Tissue 11042)$1,635$899$327$13,958$7,677$2,792
Laparoscopic Appendectomy 44970)$25,750$14,162$5,150$26,579$14,619$5,316
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,855$8,170$2,971$17,329$9,531$3,466
Laparoscopy, Removal of Tubes & Ovaries 58571)$40,894$22,492$8,179$58,061$31,933$11,612
Removal of Tonsils 42826)$12,745$7,010$2,549$16,562$9,109$3,312
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$719$395$144$2,134$1,174$427
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$35,087$19,298$7,017$32,480$17,864$6,496
Low Back Disk Surgery 63030)$27,828$15,305$5,566$32,666$17,966$6,533
Repair of Nasal Septum 30520)$14,266$7,847$2,853$17,116$9,414$3,423
Fragmenting of Kidney Stone 50590)$16,031$8,817$3,206$19,525$10,739$3,905
Needle Biopsy of Liver 47000)$5,706$3,138$1,141$14,980$8,239$2,996
Wrist Endoscopy/Surgery 29848)$16,356$8,996$3,271NRNRNR
Coronary Artery Angio S&I 93454)$19,194$10,557$3,839$30,604$16,832$6,121
Aspirate Pleura with Imaging 32555)$2,438$1,341$488$6,582$3,620$1,316
Bone Marrow Biopsy 38221)$3,387$1,863$677$4,018$2,210$804
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$19,954$10,975$3,991$29,026$15,964$5,805
Injection of chemical agent into muscles near face/neck 64615)$1,846$1,015$369NRNRNR
Removal of Adenoids 42830)$8,361$4,599$1,672NRNRNR
Correction of Bunion 28296)$17,993$9,896$3,599$24,829$13,656$4,966
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$11,104$6,107$2,221$12,766$7,022$2,553
Remove Impacted Ear Wax 69210)$302$166$60NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$19,762$10,869$3,952$21,915$12,053$4,383
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,200$12,210$4,440
Exam of ear with microscope 92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)$828$455$166$828$455$166
Removal of Central Venous Device w Port or Pump 36590)$1,037$570$207NRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)$1,271$699$254NRNRNR
Information about quality and safety of care for Waukesha Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.