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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,025$2,214$805
2560Vaginal Delivery$13,322$7,327$2,664
3720Blood Infection/Septicemia$14,721$8,097$2,944
4302Knee Replacement$52,176$28,697$10,435
5540Cesarean Delivery$21,357$11,746$4,271
6194Heart Failure$12,665$6,966$2,533
7301Hip Replacement$53,093$29,201$10,619
8751Psychoses$10,540$5,797$2,108
9139Pneumonia$12,436$6,840$2,487
10140Chronic Obstructive Pulmonary Disease$10,911$6,001$2,182
11753Bipolar Disorders$11,328$6,230$2,266
12775Alcohol Abuse/Dependence$8,455$4,650$1,691
13201Heart Abnormal Rhythm and Conduction Disorders$10,345$5,690$2,069
14383Cellulitis & other skin infections$12,480$6,864$2,496
15045Stroke and Precerebral Occlusion with Infarct$30,706$16,888$6,141
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$13,019$7,160$2,604
18221Major Bowel Procedures$61,966$34,081$12,393
19174Percutaneous coronary intervention w AMI$53,162$29,239$10,632
20750Schizophrenia$13,465$7,406$2,693
21754Depression$13,063$7,185$2,613
22420Diabetes$7,487$4,118$1,497
23282Disorders of Pancreas Except Malignancy$14,417$7,929$2,883
24247Intestinal Obstruction without Surgery$16,722$9,197$3,344
25254Other Digestive System Diagnoses$20,752$11,414$4,150
26812Poisoning of Medicinal Agents$11,325$6,229$2,265
27710Infectious & parasitic diseases including HIV w O.R. procedure$22,593$12,426$4,519
28773Opioid Abuse/Dependence$10,040$5,522$2,008
29308Hip & femur fracture repair$37,811$20,796$7,562
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$94,939$52,216$18,988
31190Circulatory Disorders with Heart Attack$27,963$15,380$5,593
32053Seizure$16,489$9,069$3,298
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous System$20,411$11,226$4,082
35175Percutaneous coronary intervention w/o AMI$62,131$34,172$12,426
36249Other gastroenteritis, nausea & vomiting$18,630$10,247$3,726
37460Renal FailureNRNRNR
38134Pulmonary Embolism$19,112$10,512$3,822
39263Laparoscopic Cholecystectomy$42,046$23,125$8,409
40244Diverticulitis & Diverticulosis$17,369$9,553$3,474
41469Acute Kidney Injury$21,493$11,821$4,299
42861Signs & Symptoms$15,578$8,568$3,116
43347Other Back/Neck Disorders, Fractures, Injuries$19,123$10,518$3,825
44315Shoulder, upper arm & forearm procedures except joint replacement$47,609$26,185$9,522
45253Other and Unspecified Gastrointestinal Hemorrhage$22,243$12,234$4,449
46241Peptic Ulcer/Gastritis$18,952$10,424$3,790
47313Other Knee/Lower Leg Surgery$38,917$21,404$7,783
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$33,181$18,250$6,636
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,827$7,605$2,765
51425Other Electrolyte Disorders$7,483$4,116$1,497
52248Major G.I. Bacterial Infections$17,821$9,802$3,564
53951Moderately Extensive Procedure Unrelated to Diagnosis$49,212$27,067$9,842
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$32,308$17,769$6,462
55862Other Factors Influencing Health Status$28,490$15,670$5,698
56024Extracranial Vascular Procedures$43,792$24,086$8,758
57021Craniotomy Except For Trauma$67,129$36,921$13,426
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$8,912$4,902$1,782
59321Upper Spinal Fusion$63,737$35,055$12,747
60566Other Antepartum Diagnoses$7,506$4,128$1,501
61197Peripheral and Other Vascular Disorders$13,154$7,235$2,631
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhage$21,353$11,744$4,271
64173Other Vascular Procedures$53,314$29,323$10,663
65052Nontraumatic stupor & coma$14,156$7,786$2,831
66225Appendectomy$33,801$18,591$6,760
67141Asthma$11,996$6,598$2,399
68166Coronary bypass w/o AMI or complex PDX$150,586$82,822$30,117
69721Postoperative and Post-Traumatic Infections$15,747$8,661$3,149
70755Neuroses Other Than Depression$8,455$4,650$1,691
71191Cardiac catheterization for coronary artery disease$28,344$15,589$5,669
72220Major Stomach/Esophagus/Duodenum Procedures$75,288$41,408$15,058
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$21,465$11,806$4,293
74163Cardiac valve procedures w/o AMI or complex PDX$141,489$77,819$28,298
75950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR

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:  April 2016 - March 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)$6,861$3,773$1,372$11,114$6,113$2,223
Lesion Removal Colonoscopy by Snare Technique 45385)$6,818$3,750$1,364$8,050$4,427$1,610
Upper GI Endoscopy with Biopsy 43239)$6,559$3,607$1,312$8,399$4,619$1,680
Diagnostic Colonoscopy 45378)$5,527$3,040$1,105$9,699$5,334$1,940
Injection into Lumbar or Sacral Area, Single Level 64483)$2,186$1,203$437$2,835$1,560$567
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$5,489$3,019$1,098$6,503$3,576$1,301
Drain/Inject Major Joint or Bursa 20610)$1,176$647$235$1,838$1,011$368
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,533$3,043$1,107NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,551$3,053$1,110NRNRNR
Carpal Tunnel Surgery 64721)$10,292$5,661$2,058$12,766$7,021$2,553
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,099$7,754$2,820$30,454$16,750$6,091
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$6,332$3,482$1,266$5,369$2,953$1,074
Uppr GI Endoscopy- Diagnostic 43235)$5,231$2,877$1,046$8,054$4,430$1,611
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,718$3,695$1,344$7,571$4,164$1,514
Creation of Eardrum Opening 69436)$6,955$3,825$1,391$7,134$3,923$1,427
Left Heart Artery/Ventricle Angiography 93458)$16,081$8,845$3,216$24,377$13,407$4,875
Unlisted Dental Surgery Procedure 41899)$13,741$7,558$2,748NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,545$2,500$909$6,506$3,578$1,301
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$22,613$12,437$4,523$25,764$14,170$5,153
ABD Paracentesis w/Imaging 49083)$2,725$1,499$545$5,237$2,880$1,047
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,235$1,779$647$3,856$2,121$771
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$6,440$3,542$1,288$10,570$5,814$2,114
Esophageal Endoscopy with Dilation 43249)$6,920$3,806$1,384$8,677$4,772$1,735
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$25,063$13,785$5,013
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$836$460$167$3,878$2,133$776
Removal of Tonsils And Adenoids - < Age 12 42820)$10,496$5,773$2,099$12,146$6,680$2,429
Hysteroscopy with Biopsy 58558)$17,066$9,386$3,413$17,592$9,676$3,518
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$21,348$11,742$4,270$22,656$12,461$4,531
Incision of Finger Tendon Sheath 26055)$6,672$3,669$1,334$11,172$6,145$2,234
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$21,250$11,687$4,250$30,089$16,549$6,018
Laparoscopic Hernia Repair - Initial 49650)$24,269$13,348$4,854$29,031$15,967$5,806
Unlisted Cystourethoscopy 52000)$5,385$2,962$1,077$4,066$2,236$813
Uppr GI Endoscopy with Guide Wire 43248)$6,160$3,388$1,232$7,474$4,111$1,495
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,502$2,476$900$5,719$3,146$1,144
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,890$5,440$1,978$42,136$23,175$8,427
Destruction of Premalignant Lesion 17000)$996$548$199NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,873$13,130$4,775$30,951$17,023$6,190
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$16,125$8,869$3,225NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)$330$182$66$20,388$11,214$4,078
Cystourethroscopy with Stent 52332)$10,468$5,757$2,094$13,425$7,384$2,685
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,316$5,124$1,863$17,341$9,538$3,468
Laparoscopy - Removal of Adnexal Structures 58661)$23,972$13,185$4,794$33,157$18,237$6,631
Mastectomy, Partial 19301)$13,646$7,505$2,729$21,153$11,634$4,231
Laparoscopic Appendectomy 44970)$23,814$13,098$4,763$31,879$17,533$6,376
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,159$7,787$2,832$18,664$10,265$3,733
Removal of Tonsils 42826)$14,242$7,833$2,848$15,040$8,272$3,008
Laparoscopy, Removal of Tubes & Ovaries 58571)$40,886$22,487$8,177$56,204$30,912$11,241
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$35,087$19,298$7,017$31,558$17,357$6,312
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$719$395$144$2,059$1,133$412
Low Back Disk Surgery 63030)$26,016$14,309$5,203$31,864$17,525$6,373
Repair of Nasal Septum 30520)$14,266$7,847$2,853$16,959$9,328$3,392
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,235$1,779$647NRNRNR
Needle Biopsy of Liver 47000)$5,450$2,997$1,090$12,242$6,733$2,448
Debridement Skin/Tissue 11042)$1,971$1,084$394$11,237$6,180$2,247
Fragmenting of Kidney Stone 50590)$15,516$8,534$3,103$19,054$10,480$3,811
Coronary Artery Angio S&I 93454)$19,194$10,557$3,839$24,538$13,496$4,908
Wrist Endoscopy/Surgery 29848)$16,356$8,996$3,271NRNRNR
Aspirate Pleura with Imaging 32555)$2,218$1,220$444$6,733$3,703$1,347
Bone Marrow Biopsy 38221)$4,346$2,390$869$4,496$2,473$899
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)$17,470$9,608$3,494$24,829$13,656$4,966
Hysteroscopy with Ablation 58563)$19,751$10,863$3,950$18,522$10,187$3,704
Remove Impacted Ear Wax 69210)$302$166$60NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$22,164$12,190$4,433
Removal of Adenoids 42830)$8,361$4,599$1,672$8,135$4,474$1,627
Right and Left Heart Artery/Ventricle Angiography 93460)$20,421$11,231$4,084$23,544$12,949$4,709
Injection of chemical agent into muscles near face/neck 64615)$1,631$897$326NRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,945$5,470$1,989$12,766$7,022$2,553
Removal of Central Venous Device w Port or Pump 36590)$1,037$570$207$20,982$11,540$4,196
Electro-Uroflowmetry - First 51741)$784$431$157$828$455$166
Apheresis Plasma 36514)$7,417$4,079$1,483$7,531$4,142$1,506
Repair of wrist joints 25447)$19,676$10,822$3,935$20,867$11,477$4,173
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.