Oconomowoc Memorial Hospital
791 Summit Avenue
Oconomowoc, WI 53066
262-569-9400

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+$4,111$2,343$904
2560Vaginal Delivery$13,771$7,849$3,030
3720Blood Infection/Septicemia$13,308$7,586$2,928
4302Knee Replacement$58,242$33,198$12,813
5194Heart Failure$15,426$8,793$3,394
6540Cesarean Delivery$21,629$12,329$4,758
7301Hip Replacement$51,257$29,216$11,277
8751PsychosesNRNRNR
9139Pneumonia$13,602$7,753$2,992
10140Chronic Obstructive Pulmonary Disease$11,664$6,648$2,566
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$15,206$8,667$3,345
13775Alcohol Abuse/Dependence$7,950$4,532$1,749
14383Cellulitis & other skin infections$8,260$4,708$1,817
15045Stroke and Precerebral Occlusion with Infarct$25,896$14,761$5,697
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$14,650$8,351$3,223
18221Major Bowel Procedures$47,406$27,021$10,429
19174Percutaneous coronary intervention w AMI$50,563$28,821$11,124
20750SchizophreniaNRNRNR
21420DiabetesNRNRNR
22469Acute Kidney InjuryNRNRNR
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$21,256$12,116$4,676
25247Intestinal Obstruction without Surgery$14,354$8,182$3,158
26254Other Digestive System Diagnoses$12,672$7,223$2,788
27812Poisoning of Medicinal Agents$20,751$11,828$4,565
28308Hip & femur fracture repair$42,672$24,323$9,388
29710Infectious & parasitic diseases including HIV w O.R. procedure$40,207$22,918$8,846
30773Opioid Abuse/DependenceNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32190Circulatory Disorders with Heart Attack$25,824$14,720$5,681
33053Seizure$4,484$2,556$986
34175Percutaneous coronary intervention w/o AMI$53,795$30,663$11,835
35249Other gastroenteritis, nausea & vomiting$27,089$15,441$5,960
36058Other Disorders of Nervous SystemNRNRNR
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$18,843$10,741$4,145
39263Laparoscopic Cholecystectomy$39,977$22,787$8,795
40244Diverticulitis & Diverticulosis$16,526$9,420$3,636
41192Cardiac catheterization for other non-coronary conditions$34,538$19,687$7,598
42861Signs & Symptoms$16,287$9,284$3,583
43347Other Back/Neck Disorders, Fractures, Injuries$17,265$9,841$3,798
44253Other and Unspecified Gastrointestinal Hemorrhage$9,058$5,163$1,993
45241Peptic Ulcer/Gastritis$18,763$10,695$4,128
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg Surgery$43,128$24,583$9,488
48425Other Electrolyte Disorders$14,816$8,445$3,260
49315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
50248Major G.I. Bacterial Infections$16,149$9,205$3,553
51351Other Musculoskeletal System and Connective Tissue Diagnoses$8,828$5,032$1,942
52951Moderately Extensive Procedure Unrelated to Diagnosis$11,690$6,663$2,572
53024Extracranial Vascular Procedures$34,070$19,420$7,495
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$22,075$12,583$4,857
55021Craniotomy Except For TraumaNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$26,850$15,305$5,907
57862Other Factors Influencing Health StatusNRNRNR
58321Upper Spinal FusionNRNRNR
59566Other Antepartum Diagnoses$12,984$7,401$2,856
60055Head trauma w coma >1 hr or hemorrhageNRNRNR
61422HypovolemiaNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63197Peripheral and Other Vascular Disorders$12,126$6,912$2,668
64181Lower Extremity Arterial Procedures$90,768$51,738$19,969
65052Nontraumatic stupor & coma$24,734$14,098$5,441
66141Asthma$4,723$2,692$1,039
67460Renal FailureNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69225AppendectomyNRNRNR
70721Postoperative and Post-Traumatic InfectionsNRNRNR
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$19,596$11,170$4,311
72144Respiratory System Signs, Symptoms and Minor Diagnoses$27,799$15,845$6,116
73163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75639Neonate Birthwt >2499g with Other Significant Condition$4,285$2,442$943

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)$11,271$6,424$2,480NRNRNR
Colonoscopy and Biopsy 45380)$7,065$4,027$1,554$11,535$6,575$2,538
Lesion Removal Colonoscopy by Snare Technique 45385)$7,066$4,028$1,555$8,294$4,727$1,825
Upper GI Endoscopy with Biopsy 43239)$6,904$3,936$1,519$8,747$4,986$1,924
Diagnostic Colonoscopy 45378)$5,929$3,380$1,304$9,348$5,328$2,057
Injection into Lumbar or Sacral Area, Single Level 64483)$2,272$1,295$500$2,979$1,698$655
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,997$2,848$1,099$6,509$3,710$1,432
Drain/Inject Major Joint or Bursa 20610)$1,188$677$261$1,380$787$304
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,613$3,200$1,235NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,792$3,301$1,274NRNRNR
Carpal Tunnel Surgery 64721)$9,654$5,503$2,124$12,290$7,005$2,704
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,235$1,844$712NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,843$7,890$3,045NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$6,348$3,618$1,396$5,298$3,020$1,166
Uppr GI Endoscopy- Diagnostic 43235)$5,230$2,981$1,151$8,218$4,685$1,808
Creation of Eardrum Opening 69436)$7,115$4,056$1,565$7,594$4,328$1,671
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,156$4,079$1,574$7,103$4,048$1,563
Left Heart Artery/Ventricle Angiography 93458)$17,875$10,189$3,933$21,711$12,375$4,776
Unlisted Dental Surgery Procedure 41899)$17,942$10,227$3,947NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,895$1,650$637$3,997$2,278$879
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$20,732$11,817$4,561$31,044$17,695$6,830
ABD Paracentesis w/Imaging 49083)$2,983$1,700$656$4,514$2,573$993
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$6,429$3,664$1,414$10,462$5,963$2,302
Esophageal Endoscopy with Dilation 43249)$4,801$2,737$1,056$9,120$5,198$2,006
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$10,943$6,238$2,408$13,491$7,690$2,968
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$16,521$9,417$3,635$16,231$9,252$3,571
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,237$1,845$712NRNRNR
Cataract Surgery- Complex 66982)$12,200$6,954$2,684NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$19,282$10,990$4,242$26,506$15,109$5,831
Incision of Finger Tendon Sheath 26055)$7,958$4,536$1,751NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$25,764$14,685$5,668$24,773$14,121$5,450
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,803$9,577$3,697$21,536$12,276$4,738
Unlisted Cystourethoscopy 52000)$9,286$5,293$2,043$4,066$2,318$894
Uppr GI Endoscopy with Guide Wire 43248)$6,071$3,460$1,336$7,269$4,143$1,599
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$4,319$2,462$950$4,604$2,624$1,013
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,513$5,992$2,313NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,264$8,130$3,138NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,812$14,143$5,459$28,162$16,053$6,196
Destruction of Benign Lesions up to 14 Lesions 17110)$1,769$1,008$389NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,318$5,311$2,050$15,727$8,964$3,460
Cystourethroscopy with Stent 52332)$10,290$5,865$2,264$19,344$11,026$4,256
Laparoscopy - Removal of Adnexal Structures 58661)$24,891$14,188$5,476$20,159$11,491$4,435
Mastectomy, Partial 19301)NRNRNR$21,318$12,151$4,690
Debridement Skin/Tissue 11042)$11,708$6,674$2,576NRNRNR
Laparoscopic Appendectomy 44970)$22,086$12,589$4,859$18,810$10,721$4,138
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,681$8,368$3,230$15,973$9,105$3,514
Laparoscopy, Removal of Tubes & Ovaries 58571)$31,597$18,010$6,951NRNRNR
Removal of Tonsils 42826)$13,719$7,820$3,018NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$873$497$192$2,316$1,320$510
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$18,390$10,482$4,046
Fragmenting of Kidney Stone 50590)$16,148$9,205$3,553$20,233$11,533$4,451
Needle Biopsy of Liver 47000)$5,692$3,244$1,252$5,028$2,866$1,106
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNR$47,964$27,339$10,552
Aspirate Pleura with Imaging 32555)$1,986$1,132$437$6,765$3,856$1,488
Bone Marrow Biopsy 38221)$2,882$1,643$634$4,432$2,526$975
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$19,590$11,166$4,310$25,283$14,411$5,562
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Correction of Bunion 28296)$18,254$10,405$4,016$30,037$17,121$6,608
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$22,217$12,664$4,888$27,627$15,747$6,078
Shoulder Arthroscopy/Surgery 29824)NRNRNR$25,739$14,671$5,663
Exam of ear with microscope 92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)$828$472$182NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$3,716$2,118$818NRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)$1,359$775$299NRNRNR
Information about quality and safety of care for Oconomowoc Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.