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

        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+$4,235$2,414$932
2560Vaginal Delivery$14,218$8,104$3,128
3720Blood Infection/Septicemia$12,608$7,187$2,774
4302Knee Replacement$58,531$33,363$12,877
5194Heart Failure$10,316$5,880$2,270
6540Cesarean Delivery$22,251$12,683$4,895
7751PsychosesNRNRNR
8301Hip Replacement$51,945$29,609$11,428
9140Chronic Obstructive Pulmonary Disease$12,589$7,176$2,770
10139Pneumonia$14,719$8,390$3,238
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$5,520$3,146$1,214
13201Heart Abnormal Rhythm and Conduction Disorders$13,782$7,856$3,032
14133Respiratory failureNRNRNR
15469Acute Kidney Injury$11,020$6,281$2,424
16045Stroke and Precerebral Occlusion with Infarct$25,519$14,546$5,614
17383Cellulitis & other skin infections$10,343$5,896$2,275
18463Kidney/Urinary Tract Infection$20,469$11,667$4,503
19174Percutaneous coronary intervention w AMI$53,259$30,358$11,717
20420DiabetesNRNRNR
21750SchizophreniaNRNRNR
22754DepressionNRNRNR
23282Disorders of Pancreas Except Malignancy$18,026$10,275$3,966
24247Intestinal Obstruction without Surgery$15,026$8,565$3,306
25221Major Bowel Procedures$45,264$25,800$9,958
26308Hip & femur fracture repair$54,611$31,128$12,014
27254Other Digestive System Diagnoses$13,278$7,568$2,921
28053Seizure$17,405$9,921$3,829
29190Circulatory Disorders with Heart Attack$24,433$13,927$5,375
30175Percutaneous coronary intervention w/o AMI$53,813$30,673$11,839
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32773Opioid Abuse/DependenceNRNRNR
33812Poisoning of Medicinal AgentsNRNRNR
34710Infectious & parasitic diseases including HIV w O.R. procedure$27,078$15,434$5,957
35137Respiratory Infections and InflammationsNRNRNR
36058Other Disorders of Nervous SystemNRNRNR
37192Cardiac catheterization for other non-coronary conditions$28,105$16,020$6,183
38134Pulmonary Embolism$16,785$9,567$3,693
39249Other gastroenteritis, nausea & vomiting$27,089$15,441$5,960
40263Laparoscopic Cholecystectomy$39,977$22,787$8,795
41244Diverticulitis & Diverticulosis$25,364$14,457$5,580
42241Peptic Ulcer/Gastritis$18,490$10,539$4,068
43466Malfunction, reaction, complic of genitourinary device or procNRNRNR
44861Signs & Symptoms$19,466$11,096$4,283
45253Other and Unspecified Gastrointestinal Hemorrhage$11,811$6,732$2,598
46347Other Back/Neck Disorders, Fractures, Injuries$15,780$8,995$3,472
47313Other Knee/Lower Leg Surgery$44,388$25,301$9,765
48181Lower Extremity Arterial Procedures$90,768$51,738$19,969
49113Epiglottitis, Ear Infection, URI and Laryngotracheitis$20,162$11,492$4,436
50024Extracranial Vascular Procedures$30,256$17,246$6,656
51248Major G.I. Bacterial Infections$17,530$9,992$3,857
52351Other Musculoskeletal System and Connective Tissue Diagnoses$14,015$7,989$3,083
53425Other Electrolyte Disorders$14,816$8,445$3,260
54021Craniotomy Except For TraumaNRNRNR
55951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
56315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$19,024$10,844$4,185
58166Coronary bypass w/o AMI or complex PDXNRNRNR
59862Other Factors Influencing Health StatusNRNRNR
60321Upper Spinal FusionNRNRNR
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62566Other Antepartum Diagnoses$17,378$9,905$3,823
63052Nontraumatic stupor & comaNRNRNR
64197Peripheral and Other Vascular DisordersNRNRNR
65141Asthma$11,598$6,611$2,552
66755Neuroses Other Than DepressionNRNRNR
67721Postoperative and Post-Traumatic InfectionsNRNRNR
68422HypovolemiaNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,950$5,102$1,969
70199Hypertension$13,663$7,788$3,006
71696Other ChemotherapyNRNRNR
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73204Fainting and Collapse$17,622$10,045$3,877
74660Major hematologic/immunologic diag exc sickle cell crisis & coagulNRNRNR
75171Pacemaker Implant without Heart Attack, Heart Failure or Shock$43,995$25,077$9,679

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)$11,581$6,601$2,548NRNRNR
Colonoscopy and Biopsy 45380)$7,145$4,073$1,572$11,178$6,371$2,459
Lesion Removal Colonoscopy by Snare Technique 45385)$7,208$4,108$1,586$8,345$4,757$1,836
Upper GI Endoscopy with Biopsy 43239)$6,992$3,986$1,538$9,287$5,294$2,043
Diagnostic Colonoscopy 45378)$6,025$3,434$1,326$9,172$5,228$2,018
Injection into Lumbar or Sacral Area, Single Level 64483)$2,285$1,302$503$2,877$1,640$633
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,235$1,844$712NRNRNR
Drain/Inject Major Joint or Bursa 20610)$1,246$710$274$1,561$890$343
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,998$2,849$1,100$6,517$3,715$1,434
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,774$3,291$1,270NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,066$3,458$1,335NRNRNR
Carpal Tunnel Surgery 64721)$9,650$5,501$2,123$12,290$7,005$2,704
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$6,487$3,697$1,427$5,347$3,048$1,176
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,976$7,967$3,075NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,707$3,253$1,256$8,659$4,936$1,905
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,245$1,850$714NRNRNR
Creation of Eardrum Opening 69436)$7,472$4,259$1,644$7,540$4,298$1,659
Left Heart Artery/Ventricle Angiography 93458)$16,422$9,361$3,613$20,670$11,782$4,547
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,049$4,018$1,551$7,103$4,048$1,563
Unlisted Dental Surgery Procedure 41899)$16,008$9,124$3,522NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,959$1,687$651$3,997$2,278$879
ABD Paracentesis w/Imaging 49083)$2,897$1,652$637$4,780$2,724$1,052
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$22,332$12,729$4,913$25,042$14,274$5,509
Esophageal Endoscopy with Dilation 43249)$7,762$4,424$1,708$13,467$7,676$2,963
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,423$3,091$1,193$8,773$5,001$1,930
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$12,153$6,927$2,674NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$14,060$8,014$3,093$14,949$8,521$3,289
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$17,090$9,741$3,760$23,204$13,226$5,105
Cataract Surgery- Complex 66982)$13,378$7,625$2,943NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$18,421$10,500$4,053$25,376$14,464$5,583
Laparoscopic Hernia Repair - Initial 49650)$25,428$14,494$5,594$23,957$13,656$5,271
Incision of Finger Tendon Sheath 26055)NRNRNR$11,884$6,774$2,614
Unlisted Cystourethoscopy 52000)NRNRNR$4,155$2,368$914
Uppr GI Endoscopy with Guide Wire 43248)$6,071$3,460$1,336$6,994$3,986$1,539
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$17,640$10,055$3,881$20,502$11,686$4,510
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,294$7,007$2,705NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)$3,581$2,041$788$5,054$2,881$1,112
Biopsy breast w/stereotactic image; 1 lesion 19081)$9,599$5,471$2,112$16,856$9,608$3,708
Destruction of Benign Lesions up to 14 Lesions 17110)$1,769$1,008$389NRNRNR
Cystourethroscopy with Stent 52332)$10,881$6,202$2,394$14,804$8,438$3,257
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,965$14,230$5,492$28,162$16,053$6,196
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$18,794$10,713$4,135NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$19,765$11,266$4,348$20,286$11,563$4,463
Mastectomy, Partial 19301)$18,577$10,589$4,087$22,207$12,658$4,885
Laparoscopy, Removal of Tubes & Ovaries 58571)$29,257$16,677$6,437$31,396$17,896$6,907
Debridement Skin/Tissue 11042)$12,962$7,389$2,852NRNRNR
Laparoscopic Appendectomy 44970)$24,826$14,151$5,462$18,529$10,562$4,076
Removal of Tonsils 42826)$14,366$8,189$3,161NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,141$8,061$3,111$20,746$11,825$4,564
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$865$493$190$2,319$1,322$510
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$55,619$31,703$12,236
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)$14,706$8,382$3,235NRNRNR
Fragmenting of Kidney Stone 50590)$16,690$9,513$3,672$17,955$10,234$3,950
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,168$1,236$477NRNRNR
Needle Biopsy of Liver 47000)$6,879$3,921$1,513NRNRNR
Exam of ear with microscope 92504)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$2,882$1,643$634$3,967$2,261$873
Electro-Uroflowmetry - First 51741)$828$472$182$828$472$182
Removal of Adenoids 42830)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)$1,359$775$299NRNRNR
Hysteroscopy with Ablation 58563)$20,654$11,773$4,544$25,433$14,497$5,595
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$21,879$12,471$4,813$21,700$12,369$4,774
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$23,738$13,531$5,222
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Information about quality and safety of care for ProHealth Oconomowoc Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.