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

        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+$4,159$2,371$915
2560Vaginal Delivery$14,011$7,986$3,082
3720Blood Infection/Septicemia$12,457$7,100$2,741
4302Knee Replacement$58,295$33,228$12,825
5194Heart Failure$10,069$5,739$2,215
6540Cesarean Delivery$22,047$12,567$4,850
7301Hip Replacement$51,470$29,338$11,323
8751PsychosesNRNRNR
9140Chronic Obstructive Pulmonary Disease$12,064$6,876$2,654
10139Pneumonia$14,719$8,390$3,238
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$7,950$4,532$1,749
13201Heart Abnormal Rhythm and Conduction Disorders$14,288$8,144$3,143
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$9,548$5,442$2,101
16045Stroke and Precerebral Occlusion with Infarct$29,350$16,730$6,457
17469Acute Kidney InjuryNRNRNR
18463Kidney/Urinary Tract Infection$23,612$13,459$5,195
19221Major Bowel Procedures$46,505$26,508$10,231
20174Percutaneous coronary intervention w AMI$51,317$29,251$11,290
21750SchizophreniaNRNRNR
22420DiabetesNRNRNR
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$19,591$11,167$4,310
25247Intestinal Obstruction without Surgery$15,026$8,565$3,306
26812Poisoning of Medicinal AgentsNRNRNR
27254Other Digestive System Diagnoses$10,158$5,790$2,235
28308Hip & femur fracture repair$51,292$29,236$11,284
29710Infectious & parasitic diseases including HIV w O.R. procedure$33,642$19,176$7,401
30190Circulatory Disorders with Heart Attack$25,824$14,720$5,681
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32053Seizure$4,484$2,556$986
33773Opioid Abuse/DependenceNRNRNR
34175Percutaneous coronary intervention w/o AMI$50,543$28,810$11,119
35058Other Disorders of Nervous SystemNRNRNR
36249Other gastroenteritis, nausea & vomiting$27,089$15,441$5,960
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$16,785$9,567$3,693
39192Cardiac catheterization for other non-coronary conditions$26,899$15,332$5,918
40263Laparoscopic Cholecystectomy$39,298$22,400$8,646
41244Diverticulitis & Diverticulosis$20,507$11,689$4,512
42861Signs & Symptoms$16,287$9,284$3,583
43241Peptic Ulcer/Gastritis$18,490$10,539$4,068
44253Other and Unspecified Gastrointestinal Hemorrhage$10,330$5,888$2,273
45466Malfunction, reaction, complic of genitourinary device or procNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$16,881$9,622$3,714
47313Other Knee/Lower Leg Surgery$43,128$24,583$9,488
48425Other Electrolyte Disorders$14,816$8,445$3,260
49181Lower Extremity Arterial Procedures$90,768$51,738$19,969
50951Moderately Extensive Procedure Unrelated to Diagnosis$11,690$6,663$2,572
51248Major G.I. Bacterial Infections$17,530$9,992$3,857
52024Extracranial Vascular Procedures$30,256$17,246$6,656
53351Other Musculoskeletal System and Connective Tissue Diagnoses$14,015$7,989$3,083
54315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$20,162$11,492$4,436
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$19,987$11,393$4,397
58166Coronary bypass w/o AMI or complex PDXNRNRNR
59321Upper Spinal FusionNRNRNR
60862Other Factors Influencing Health StatusNRNRNR
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62197Peripheral and Other Vascular Disorders$12,126$6,912$2,668
63566Other Antepartum Diagnoses$17,378$9,905$3,823
64422HypovolemiaNRNRNR
65052Nontraumatic stupor & coma$24,734$14,098$5,441
66141Asthma$4,056$2,312$892
67755Neuroses Other Than DepressionNRNRNR
68721Postoperative and Post-Traumatic InfectionsNRNRNR
69225Appendectomy$33,785$19,257$7,433
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,950$5,102$1,969
71144Respiratory System Signs, Symptoms and Minor Diagnoses$15,601$8,893$3,432
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73204Fainting and CollapseNRNRNR
74199HypertensionNRNRNR
75696Other ChemotherapyNRNRNR

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)$11,443$6,523$2,517NRNRNR
Colonoscopy and Biopsy (45380)$7,108$4,052$1,564$11,150$6,355$2,453
Lesion Removal Colonoscopy by Snare Technique (45385)$7,066$4,028$1,555$8,124$4,631$1,787
Upper GI Endoscopy with Biopsy (43239)$6,928$3,949$1,524$9,035$5,150$1,988
Diagnostic Colonoscopy (45378)$5,968$3,402$1,313$9,348$5,328$2,057
Injection into Lumbar or Sacral Area, Single Level (64483)$2,272$1,295$500$2,747$1,566$604
Drain/Inject Major Joint or Bursa (20610)$1,228$700$270$1,744$994$384
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$4,998$2,849$1,100$6,511$3,711$1,432
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,614$3,200$1,235NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$3,167$1,805$697NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,822$3,319$1,281NRNRNR
Carpal Tunnel Surgery (64721)$9,654$5,503$2,124$12,290$7,005$2,704
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)$6,353$3,621$1,398$5,296$3,019$1,165
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$13,946$7,949$3,068NRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$5,565$3,172$1,224$8,480$4,834$1,866
Creation of Eardrum Opening (69436)$7,436$4,239$1,636$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)$16,777$9,563$3,691$20,670$11,782$4,547
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)$3,167$1,805$697NRNRNR
Unlisted Dental Surgery Procedure (41899)$17,499$9,974$3,850NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$2,931$1,671$645$7,009$3,995$1,542
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)$2,866$1,634$631$3,900$2,223$858
Laparoscopic Cholecystectomy (47562)$24,030$13,697$5,287$25,042$14,274$5,509
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$5,804$3,308$1,277$9,505$5,418$2,091
Esophageal Endoscopy with Dilation (43249)$4,801$2,737$1,056$13,467$7,676$2,963
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$12,710$7,245$2,796$14,949$8,521$3,289
Arthroscopic Rotator Cuff Repair (29827)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)$13,059$7,444$2,873NRNRNR
Hysteroscopy with Biopsy (58558)$16,502$9,406$3,630$20,567$11,723$4,525
Cystourethroscopy with Lithotripsy and Stent (52356)$23,003$13,112$5,061$26,506$15,109$5,831
Incision of Finger Tendon Sheath (26055)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$26,058$14,853$5,733$23,916$13,632$5,262
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$17,081$9,736$3,758$21,525$12,269$4,736
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
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$11,825$6,740$2,602NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)$3,959$2,257$871$4,937$2,814$1,086
Destruction of Benign Lesions up to 14 Lesions (17110)$1,770$1,009$389NRNRNR
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)$24,924$14,207$5,483$26,699$15,218$5,874
Biopsy breast w/stereotactic image; 1 lesion (19081)$9,318$5,311$2,050NRNRNR
Cystourethroscopy with Stent (52332)$10,244$5,839$2,254$19,435$11,078$4,276
Laparoscopy - Removal of Adnexal Structures (58661)$24,891$14,188$5,476$26,786$15,268$5,893
Mastectomy, Partial (19301)NRNRNR$21,506$12,258$4,731
Debridement Skin/Tissue (11042)$10,829$6,172$2,382NRNRNR
Laparoscopic Appendectomy (44970)$22,086$12,589$4,859$18,529$10,562$4,076
Laparoscopy, Removal of Tubes & Ovaries (58571)$31,597$18,010$6,951$31,396$17,896$6,907
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$14,943$8,518$3,288$15,973$9,105$3,514
Removal of Tonsils (42826)$14,309$8,156$3,148NRNRNR
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)$940$536$207$2,313$1,318$509
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNR$55,619$31,703$12,236
Repair of Nasal Septum (30520)NRNRNR$18,390$10,482$4,046
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)NRNRNR$19,645$11,198$4,322
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging (32555)$2,183$1,244$480$5,673$3,234$1,248
Needle Biopsy of Liver (47000)$5,806$3,309$1,277NRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$2,882$1,643$634$4,419$2,519$972
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$20,817$11,866$4,580$25,358$14,454$5,579
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)$828$472$182$828$472$182
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$24,664$14,058$5,426
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,359$775$299NRNRNR
Correction of Bunion (28296)$18,117$10,327$3,986$30,037$17,121$6,608
Shoulder Arthroscopy/Surgery (29824)NRNRNR$23,738$13,531$5,222
Angioplasty - peripheral segment of the dialysis circuit (36902)$13,751$7,838$3,025NRNRNR
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.