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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   October 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,231$2,327$846
2560Vaginal Delivery$13,872$7,630$2,774
3720Blood Infection/Septicemia$16,842$9,263$3,368
4302Knee Replacement$53,084$29,196$10,617
5194Heart Failure$13,036$7,170$2,607
6540Cesarean Delivery$23,037$12,670$4,607
7301Hip Replacement$55,982$30,790$11,196
8751Psychoses$10,826$5,954$2,165
9140Chronic Obstructive Pulmonary Disease$11,818$6,500$2,364
10139Pneumonia$13,456$7,401$2,691
11753Bipolar Disorders$11,460$6,303$2,292
12775Alcohol Abuse/Dependence$8,884$4,886$1,777
13201Heart Abnormal Rhythm and Conduction Disorders$10,885$5,987$2,177
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$9,900$5,445$1,980
16045Stroke and Precerebral Occlusion with Infarct$26,005$14,303$5,201
17469Acute Kidney Injury$21,493$11,821$4,299
18463Kidney/Urinary Tract Infection$13,920$7,656$2,784
19221Major Bowel Procedures$65,694$36,132$13,139
20174Percutaneous coronary intervention w AMI$51,379$28,258$10,276
21750Schizophrenia$10,838$5,961$2,168
22420Diabetes$12,119$6,665$2,424
23754Depression$12,073$6,640$2,415
24282Disorders of Pancreas Except Malignancy$14,324$7,878$2,865
25247Intestinal Obstruction without Surgery$17,375$9,556$3,475
26812Poisoning of Medicinal Agents$13,174$7,246$2,635
27254Other Digestive System Diagnoses$18,678$10,273$3,736
28308Hip & femur fracture repair$46,119$25,365$9,224
29710Infectious & parasitic diseases including HIV w O.R. procedure$18,701$10,286$3,740
30190Circulatory Disorders with Heart Attack$26,196$14,408$5,239
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$98,518$54,185$19,704
32053Seizure$14,298$7,864$2,860
33773Opioid Abuse/Dependence$11,398$6,269$2,280
34175Percutaneous coronary intervention w/o AMI$74,756$41,116$14,951
35058Other Disorders of Nervous System$17,452$9,599$3,490
36249Other gastroenteritis, nausea & vomiting$19,757$10,866$3,951
37137Respiratory Infections and Inflammations$14,123$7,768$2,825
38134Pulmonary Embolism$16,774$9,226$3,355
39192Cardiac catheterization for other non-coronary conditions$36,475$20,061$7,295
40263Laparoscopic Cholecystectomy$41,664$22,915$8,333
41244Diverticulitis & Diverticulosis$18,269$10,048$3,654
42861Signs & Symptoms$18,088$9,948$3,618
43241Peptic Ulcer/Gastritis$20,288$11,158$4,058
44253Other and Unspecified Gastrointestinal Hemorrhage$19,222$10,572$3,844
45466Malfunction, reaction, complic of genitourinary device or procNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$16,890$9,290$3,378
47313Other Knee/Lower Leg Surgery$38,541$21,198$7,708
48425Other Electrolyte Disorders$12,405$6,823$2,481
49181Lower Extremity Arterial Procedures$70,459$38,752$14,092
50951Moderately Extensive Procedure Unrelated to Diagnosis$24,853$13,669$4,971
51248Major G.I. Bacterial Infections$20,506$11,278$4,101
52024Extracranial Vascular Procedures$44,704$24,587$8,941
53351Other Musculoskeletal System and Connective Tissue Diagnoses$17,638$9,701$3,528
54315Shoulder, upper arm & forearm procedures except joint replacement$34,816$19,149$6,963
55021Craniotomy Except For Trauma$60,694$33,382$12,139
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$13,630$7,497$2,726
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$26,872$14,780$5,374
58166Coronary bypass w/o AMI or complex PDX$165,450$90,998$33,090
59321Upper Spinal Fusion$75,230$41,377$15,046
60862Other Factors Influencing Health StatusNRNRNR
61055Head trauma w coma >1 hr or hemorrhage$22,693$12,481$4,539
62197Peripheral and Other Vascular Disorders$12,668$6,967$2,534
63566Other Antepartum Diagnoses$8,715$4,793$1,743
64422Hypovolemia$10,770$5,924$2,154
65052Nontraumatic stupor & comaNRNRNR
66141Asthma$11,620$6,391$2,324
67755Neuroses Other Than Depression$9,835$5,409$1,967
68721Postoperative and Post-Traumatic Infections$9,978$5,488$1,996
69225Appendectomy$52,936$29,115$10,587
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,106$9,958$3,621
71144Respiratory System Signs, Symptoms and Minor Diagnoses$13,683$7,526$2,737
72163Cardiac valve procedures w/o AMI or complex PDX$161,896$89,043$32,379
73204Fainting and Collapse$20,438$11,241$4,088
74199Hypertension$13,560$7,458$2,712
75696Other Chemotherapy$58,306$32,068$11,661

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 2016 - September 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)$7,093$3,901$1,419$11,302$6,216$2,260
Lesion Removal Colonoscopy by Snare Technique (45385)$7,098$3,904$1,420$8,422$4,632$1,684
Upper GI Endoscopy with Biopsy (43239)$6,768$3,722$1,354$8,649$4,757$1,730
Diagnostic Colonoscopy (45378)$5,799$3,189$1,160$10,055$5,530$2,011
Injection into Lumbar or Sacral Area, Single Level (64483)$2,215$1,218$443$2,835$1,560$567
Drain/Inject Major Joint or Bursa (20610)$1,234$679$247$2,112$1,162$422
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$5,350$2,943$1,070$6,511$3,581$1,302
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,730$3,151$1,146NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$3,153$1,734$631$3,856$2,121$771
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,842$3,213$1,168NRNRNR
Carpal Tunnel Surgery (64721)$10,699$5,885$2,140$13,086$7,197$2,617
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$6,069$3,338$1,214$5,425$2,984$1,085
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$15,331$8,432$3,066NRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$5,497$3,023$1,099$8,478$4,663$1,696
Creation of Eardrum Opening (69436)$7,107$3,909$1,421$7,376$4,057$1,475
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$6,775$3,726$1,355$9,413$5,177$1,883
Left Heart Artery/Ventricle Angiography (93458)$15,667$8,617$3,133$23,300$12,815$4,660
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)$3,175$1,746$635NRNRNR
Unlisted Dental Surgery Procedure (41899)$14,084$7,746$2,817NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$5,525$3,038$1,105$6,590$3,625$1,318
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)$2,998$1,649$600$6,060$3,333$1,212
Laparoscopic Cholecystectomy (47562)$23,411$12,876$4,682$25,764$14,170$5,153
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$6,012$3,307$1,202$10,042$5,523$2,008
Esophageal Endoscopy with Dilation (43249)$7,329$4,031$1,466$8,892$4,891$1,778
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$1,034$569$207$1,688$928$338
Removal of Tonsils And Adenoids - < Age 12 (42820)$11,035$6,069$2,207$12,146$6,680$2,429
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$31,084$17,096$6,217
Cataract Surgery- Complex (66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy (58558)$18,039$9,922$3,608$21,472$11,809$4,294
Cystourethroscopy with Lithotripsy and Stent (52356)$22,817$12,549$4,563$25,268$13,897$5,054
Incision of Finger Tendon Sheath (26055)$6,701$3,686$1,340$11,469$6,308$2,294
Laparoscopic Hernia Repair - Initial (49650)$25,884$14,236$5,177$29,367$16,152$5,873
Destruction of Premalignant Lesion (17000)$148$81$30NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$21,729$11,951$4,346$26,064$14,335$5,213
Unlisted Cystourethoscopy (52000)$4,079$2,244$816$4,106$2,258$821
Uppr GI Endoscopy with Guide Wire (43248)$6,286$3,457$1,257$7,616$4,189$1,523
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$10,996$6,048$2,199NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$4,302$2,366$860$5,641$3,103$1,128
Destruction of Benign Lesions up to 14 Lesions (17110)$353$194$71$20,388$11,214$4,078
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)$24,264$13,345$4,853$30,142$16,578$6,028
Biopsy breast w/stereotactic image; 1 lesion (19081)$9,318$5,125$1,864$17,388$9,563$3,478
Cystourethroscopy with Stent (52332)$10,710$5,890$2,142$13,987$7,693$2,797
Laparoscopy - Removal of Adnexal Structures (58661)$23,888$13,138$4,778$35,522$19,537$7,104
Mastectomy, Partial (19301)$13,872$7,630$2,774$22,316$12,274$4,463
Debridement Skin/Tissue (11042)$1,595$877$319$6,083$3,346$1,217
Laparoscopic Appendectomy (44970)$24,558$13,507$4,912$31,837$17,510$6,367
Laparoscopy, Removal of Tubes & Ovaries (58571)$41,393$22,766$8,279$58,666$32,267$11,733
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$15,271$8,399$3,054$18,357$10,096$3,671
Removal of Tonsils (42826)$14,066$7,736$2,813$15,609$8,585$3,122
Low Back Disk Surgery (63030)$27,872$15,330$5,574$32,756$18,016$6,551
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$720$396$144$1,872$1,029$374
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$35,087$19,298$7,017$46,843$25,763$9,369
Repair of Nasal Septum (30520)$14,942$8,218$2,988$17,274$9,501$3,455
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)$16,756$9,216$3,351$19,742$10,858$3,948
Coronary Artery Angio S&I (93454)$15,765$8,671$3,153$26,006$14,303$5,201
Aspirate Pleura with Imaging (32555)$2,483$1,366$497$6,582$3,620$1,316
Needle Biopsy of Liver (47000)$6,015$3,308$1,203$12,009$6,605$2,402
Injection of chemical agent into muscles near face/neck (64615)$1,846$1,015$369NRNRNR
Bone Marrow Biopsy (38221)$2,440$1,342$488$4,164$2,290$833
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Removal of Adenoids (42830)$8,512$4,682$1,702NRNRNR
Hysteroscopy with Ablation (58563)$19,954$10,975$3,991$29,026$15,964$5,805
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)$828$455$166$828$455$166
Biopsy of lung or mediastinum, percutaneous w/needle (32405)$11,075$6,091$2,215$12,766$7,022$2,553
Remove Impacted Ear Wax (69210)$302$166$60NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$19,271$10,599$3,854$21,524$11,838$4,305
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,993$1,096$399NRNRNR
Correction of Bunion (28296)$19,770$10,873$3,954$20,576$11,317$4,115
Shoulder Arthroscopy/Surgery (29824)$25,082$13,795$5,016$24,056$13,231$4,811
Angioplasty - peripheral segment of the dialysis circuit (36902)$14,278$7,853$2,856$20,527$11,290$4,105
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.