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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   January 2017 - December 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,309$2,370$862
2560Vaginal Delivery$13,909$7,650$2,782
3720Blood Infection/Septicemia$17,029$9,366$3,406
4302Knee Replacement$53,538$29,446$10,708
5194Heart Failure$13,208$7,264$2,642
6540Cesarean Delivery$24,032$13,218$4,806
7751Psychoses$11,141$6,128$2,228
8301Hip Replacement$56,775$31,226$11,355
9140Chronic Obstructive Pulmonary Disease$12,368$6,802$2,474
10139Pneumonia$12,122$6,667$2,424
11753Bipolar Disorders$13,417$7,379$2,683
12775Alcohol Abuse/Dependence$9,517$5,234$1,903
13201Heart Abnormal Rhythm and Conduction Disorders$11,013$6,057$2,203
14133Respiratory failureNRNRNR
15469Acute Kidney Injury$21,493$11,821$4,299
16045Stroke and Precerebral Occlusion with Infarct$24,741$13,608$4,948
17383Cellulitis & other skin infections$11,040$6,072$2,208
18463Kidney/Urinary Tract Infection$14,231$7,827$2,846
19174Percutaneous coronary intervention w AMI$51,666$28,416$10,333
20420Diabetes$12,447$6,846$2,489
21750Schizophrenia$14,627$8,045$2,925
22754Depression$11,360$6,248$2,272
23282Disorders of Pancreas Except Malignancy$16,645$9,155$3,329
24247Intestinal Obstruction without Surgery$17,767$9,772$3,553
25221Major Bowel Procedures$64,325$35,379$12,865
26308Hip & femur fracture repair$48,459$26,652$9,692
27254Other Digestive System Diagnoses$16,926$9,309$3,385
28053Seizure$13,919$7,655$2,784
29190Circulatory Disorders with Heart Attack$26,196$14,408$5,239
30175Percutaneous coronary intervention w/o AMI$69,379$38,158$13,876
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$100,357$55,196$20,071
32773Opioid Abuse/Dependence$9,563$5,260$1,913
33812Poisoning of Medicinal Agents$11,047$6,076$2,209
34710Infectious & parasitic diseases including HIV w O.R. procedure$18,701$10,286$3,740
35137Respiratory Infections and Inflammations$16,399$9,019$3,280
36058Other Disorders of Nervous System$14,592$8,026$2,918
37192Cardiac catheterization for other non-coronary conditions$36,560$20,108$7,312
38134Pulmonary Embolism$19,468$10,707$3,894
39249Other gastroenteritis, nausea & vomiting$20,984$11,541$4,197
40263Laparoscopic Cholecystectomy$46,297$25,463$9,259
41244Diverticulitis & Diverticulosis$18,532$10,193$3,706
42241Peptic Ulcer/Gastritis$20,406$11,223$4,081
43466Malfunction, reaction, complic of genitourinary device or procNRNRNR
44861Signs & Symptoms$17,232$9,478$3,446
45253Other and Unspecified Gastrointestinal Hemorrhage$18,981$10,440$3,796
46347Other Back/Neck Disorders, Fractures, Injuries$18,106$9,958$3,621
47313Other Knee/Lower Leg Surgery$39,768$21,872$7,954
48181Lower Extremity Arterial Procedures$60,253$33,139$12,051
49113Epiglottitis, Ear Infection, URI and Laryngotracheitis$13,630$7,497$2,726
50024Extracranial Vascular Procedures$45,219$24,870$9,044
51248Major G.I. Bacterial Infections$17,362$9,549$3,472
52351Other Musculoskeletal System and Connective Tissue Diagnoses$17,638$9,701$3,528
53425Other Electrolyte Disorders$12,405$6,823$2,481
54021Craniotomy Except For Trauma$62,171$34,194$12,434
55951Moderately Extensive Procedure Unrelated to Diagnosis$16,479$9,063$3,296
56315Shoulder, upper arm & forearm procedures except joint replacement$23,589$12,974$4,718
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$24,432$13,438$4,886
58166Coronary bypass w/o AMI or complex PDX$165,450$90,998$33,090
59862Other Factors Influencing Health StatusNRNRNR
60321Upper Spinal Fusion$76,043$41,824$15,209
61055Head trauma w coma >1 hr or hemorrhage$24,157$13,286$4,831
62566Other Antepartum Diagnoses$7,151$3,933$1,430
63052Nontraumatic stupor & coma$24,538$13,496$4,908
64197Peripheral and Other Vascular Disorders$12,668$6,967$2,534
65141Asthma$11,703$6,437$2,341
66755Neuroses Other Than Depression$8,672$4,770$1,734
67721Postoperative and Post-Traumatic Infections$15,747$8,661$3,149
68422Hypovolemia$11,991$6,595$2,398
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$17,352$9,544$3,470
70199Hypertension$10,381$5,710$2,076
71696Other Chemotherapy$58,306$32,068$11,661
72163Cardiac valve procedures w/o AMI or complex PDX$161,896$89,043$32,379
73204Fainting and Collapse$17,581$9,670$3,516
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$11,278$6,203$2,256
75171Pacemaker Implant without Heart Attack, Heart Failure or Shock$53,375$29,356$10,675

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 2017 - December 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)$7,208$3,964$1,442$11,641$6,403$2,328
Lesion Removal Colonoscopy by Snare Technique 45385)$7,365$4,050$1,473$8,771$4,824$1,754
Upper GI Endoscopy with Biopsy 43239)$6,898$3,794$1,380$9,500$5,225$1,900
Diagnostic Colonoscopy 45378)$5,999$3,299$1,200$9,916$5,454$1,983
Injection into Lumbar or Sacral Area, Single Level 64483)$2,275$1,251$455$2,871$1,579$574
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,177$1,747$635$3,856$2,121$771
Drain/Inject Major Joint or Bursa 20610)$1,244$684$249$1,913$1,052$383
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$5,379$2,958$1,076$6,590$3,625$1,318
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,905$3,247$1,181NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,926$3,259$1,185NRNRNR
Carpal Tunnel Surgery 64721)$10,894$5,991$2,179$13,125$7,219$2,625
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$6,095$3,352$1,219$5,425$2,984$1,085
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$15,354$8,445$3,071NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,563$3,060$1,113$8,478$4,663$1,696
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,235$1,779$647NRNRNR
Creation of Eardrum Opening 69436)$7,124$3,918$1,425$7,334$4,034$1,467
Left Heart Artery/Ventricle Angiography 93458)$15,763$8,670$3,153$24,624$13,543$4,925
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,832$3,757$1,366$9,413$5,177$1,883
Unlisted Dental Surgery Procedure 41899)$14,084$7,746$2,817NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,684$3,126$1,137$7,179$3,948$1,436
ABD Paracentesis w/Imaging 49083)$3,241$1,782$648$5,798$3,189$1,160
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$22,292$12,261$4,458$25,764$14,170$5,153
Esophageal Endoscopy with Dilation 43249)$7,390$4,064$1,478$9,090$5,000$1,818
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,654$3,109$1,131$10,600$5,830$2,120
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$611$336$122$1,378$758$276
Removal of Tonsils And Adenoids - < Age 12 42820)$11,407$6,274$2,281$12,029$6,616$2,406
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$34,785$19,132$6,957
Destruction of Premalignant Lesion 17000)$148$81$30$2,361$1,298$472
Hysteroscopy with Biopsy 58558)$17,816$9,799$3,563$21,472$11,809$4,294
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$23,706$13,038$4,741$26,654$14,660$5,331
Laparoscopic Hernia Repair - Initial 49650)$24,972$13,735$4,994$29,367$16,152$5,873
Incision of Finger Tendon Sheath 26055)$8,430$4,636$1,686$15,536$8,545$3,107
Unlisted Cystourethoscopy 52000)$3,952$2,174$790$4,147$2,281$829
Uppr GI Endoscopy with Guide Wire 43248)$6,323$3,477$1,265$7,880$4,334$1,576
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$21,331$11,732$4,266$22,039$12,122$4,408
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,620$6,391$2,324$21,232$11,678$4,246
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$7,533$4,143$1,507$5,454$3,000$1,091
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,471$5,209$1,894$17,274$9,500$3,455
Destruction of Benign Lesions up to 14 Lesions 17110)$353$194$71$571$314$114
Cystourethroscopy with Stent 52332)$11,028$6,065$2,206$15,220$8,371$3,044
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,286$13,357$4,857$30,499$16,775$6,100
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$18,348$10,092$3,670NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$23,532$12,942$4,706$33,454$18,400$6,691
Mastectomy, Partial 19301)$15,047$8,276$3,009$22,061$12,134$4,412
Laparoscopy, Removal of Tubes & Ovaries 58571)$38,568$21,213$7,714$58,896$32,393$11,779
Debridement Skin/Tissue 11042)$1,595$877$319$13,713$7,542$2,743
Laparoscopic Appendectomy 44970)$26,472$14,560$5,294$30,229$16,626$6,046
Removal of Tonsils 42826)$12,644$6,954$2,529$15,365$8,451$3,073
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,864$8,725$3,173$27,750$15,263$5,550
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$720$396$144$2,306$1,268$461
Low Back Disk Surgery 63030)$28,624$15,743$5,725$33,113$18,212$6,623
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$45,578$25,068$9,116$42,986$23,643$8,597
Repair of Nasal Septum 30520)$15,549$8,552$3,110$19,051$10,478$3,810
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$16,187$8,903$3,237$22,372$12,305$4,474
Angioplasty - peripheral segment of the dialysis circuit 36902)$15,084$8,296$3,017$20,527$11,290$4,105
Fragmenting of Kidney Stone 50590)$16,225$8,924$3,245$20,086$11,047$4,017
Injection of chemical agent into muscles near face/neck 64615)$1,846$1,015$369NRNRNR
Aspirate Pleura with Imaging 32555)$2,547$1,401$509$10,597$5,828$2,119
Needle Biopsy of Liver 47000)$6,192$3,406$1,238$12,009$6,605$2,402
Exam of ear with microscope 92504)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$2,440$1,342$488$4,018$2,210$804
Electro-Uroflowmetry - First 51741)$828$455$166NRNRNR
Removal of Adenoids 42830)$7,636$4,200$1,527NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)$1,993$1,096$399NRNRNR
Hysteroscopy with Ablation 58563)$20,579$11,318$4,116$29,026$15,964$5,805
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$10,125$5,569$2,025$15,544$8,549$3,109
Right and Left Heart Artery/Ventricle Angiography 93460)$19,530$10,742$3,906$21,521$11,837$4,304
Remove Impacted Ear Wax 69210)$302$166$60NRNRNR
Shoulder Arthroscopy/Surgery 29824)$25,082$13,795$5,016$24,602$13,531$4,920
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Information about quality and safety of care for ProHealth Waukesha Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.