Froedtert Memorial Lutheran Hospital, Inc
9200 W Wisconsin Ave, PO Box 26099
Milwaukee, WI 53226
414-805-3000
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2018 - June 2019
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,201$1,793$832
2560Vaginal Delivery$13,647$7,642$3,548
3720Blood Infection/Septicemia$23,964$13,420$6,231
4194Heart Failure$17,409$9,749$4,526
5540Cesarean Delivery$22,660$12,690$5,892
6751Psychoses$27,655$15,487$7,190
7301Hip Replacement$76,311$42,734$19,841
8302Knee Replacement$64,133$35,914$16,675
9139Pneumonia$15,963$8,939$4,150
10753Bipolar Disorders$11,823$6,621$3,074
11775Alcohol Abuse/Dependence$11,315$6,336$2,942
12201Heart Abnormal Rhythm and Conduction Disorders$12,909$7,229$3,356
13133Respiratory failureNRNRNR
14140Chronic Obstructive Pulmonary Disease$11,825$6,622$3,075
15469Acute Kidney Injury$12,869$7,207$3,346
16045Stroke and Precerebral Occlusion with Infarct$23,552$13,189$6,123
17463Kidney/Urinary Tract Infection$17,796$9,965$4,627
18383Cellulitis & other skin infections$15,092$8,452$3,924
19750Schizophrenia$23,598$13,215$6,135
20174Percutaneous coronary intervention w AMI$74,685$41,824$19,418
21420Diabetes$14,110$7,902$3,669
22282Disorders of Pancreas Except Malignancy$21,868$12,246$5,686
23247Intestinal Obstruction without Surgery$16,306$9,132$4,240
24175Percutaneous coronary intervention w/o AMI$89,424$50,078$23,250
25308Hip & femur fracture repair$70,178$39,300$18,246
26190Circulatory Disorders with Heart Attack$26,921$15,076$6,999
27231Major large bowel procedures$66,349$37,155$17,251
28254Other Digestive System Diagnoses$20,711$11,598$5,385
29053Seizure$19,777$11,075$5,142
30754Depression$6,300$3,528$1,638
31137Respiratory Infections and InflammationsNRNRNR
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$81,772$45,793$21,261
33058Other Disorders of Nervous System$25,469$14,263$6,622
34134Pulmonary Embolism$14,588$8,169$3,793
35192Cardiac catheterization for other non-coronary conditions$26,436$14,804$6,873
36466Malfunction, reaction, complic of genitourinary device or procNRNRNR
37263Laparoscopic Cholecystectomy$54,549$30,547$14,183
38244Diverticulitis & Diverticulosis$24,899$13,943$6,474
39249Other gastroenteritis, nausea & vomiting$22,215$12,441$5,776
40241Peptic Ulcer/Gastritis$24,582$13,766$6,391
41710Infectious & parasitic diseases including HIV w O.R. procedure$30,215$16,920$7,856
42773Opioid Abuse/Dependence$23,089$12,930$6,003
43230Major small bowel procedures$54,423$30,477$14,150
44347Other Back/Neck Disorders, Fractures, Injuries$20,870$11,687$5,426
45322Shoulder & Elbow Joint Replacement$64,981$36,389$16,895
46861Signs & Symptoms$15,902$8,905$4,134
47313Other Knee/Lower Leg Surgery$61,614$34,504$16,020
48024Extracranial Vascular Procedures$77,056$43,151$20,035
49862Other Factors Influencing Health Status$32,996$18,478$8,579
50253Other and Unspecified Gastrointestinal Hemorrhage$7,569$4,239$1,968
51181Lower Extremity Arterial Procedures$92,186$51,624$23,968
52021Craniotomy Except For Trauma$72,452$40,573$18,838
53351Other Musculoskeletal System and Connective Tissue Diagnoses$17,405$9,747$4,525
54426Non-hypovolemic sodium disorders$12,276$6,874$3,192
55812Poisoning of Medicinal Agents$15,539$8,702$4,040
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,764$10,508$4,879
57248Major G.I. Bacterial Infections$33,548$18,787$8,723
58052Nontraumatic stupor & coma$20,722$11,604$5,388
59055Head trauma w coma >1 hr or hemorrhage$14,370$8,047$3,736
60113Epiglottitis, Ear Infection, URI and Laryngotracheitis$20,608$11,540$5,358
61166Coronary bypass w/o AMI or complex PDX$107,600$60,256$27,976
62721Postoperative and Post-Traumatic Infections$18,936$10,604$4,923
63755Neuroses Other Than Depression$19,398$10,863$5,043
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,515$7,569$3,514
65566Other Antepartum Diagnoses$11,521$6,452$2,996
66141Asthma$17,790$9,962$4,625
67696Other Chemotherapy$14,954$8,374$3,888
68199Hypertension$11,789$6,602$3,065
69321Upper Spinal Fusion$84,330$47,225$21,926
70171Pacemaker Implant without Heart Attack, Heart Failure or Shock$52,063$29,155$13,536
71197Peripheral and Other Vascular Disorders$16,205$9,075$4,213
72425Other Electrolyte Disorders$15,166$8,493$3,943
73284Disorders of gallbladder & biliary tract$29,192$16,348$7,590
74163Cardiac valve procedures w/o AMI or complex PDX$116,142$65,040$30,197
75541Vaginal Delivery with Sterilization$23,183$12,983$6,028

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 2018 - June 2019

 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)$8,579$4,804$2,231$18,972$10,624$4,933
Colonoscopy and Biopsy 45380)$7,352$4,117$1,912$8,274$4,634$2,151
Lesion Removal Colonoscopy by Snare Technique 45385)$7,105$3,979$1,847$8,341$4,671$2,169
Upper GI Endoscopy with Biopsy 43239)$7,053$3,950$1,834$8,968$5,022$2,332
Diagnostic Colonoscopy 45378)$6,683$3,742$1,738$7,806$4,371$2,029
Injection into Lumbar or Sacral Area, Single Level 64483)$2,007$1,124$522$2,137$1,196$556
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,055$1,151$534$2,062$1,155$536
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,209$1,237$574$2,209$1,237$574
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$6,540$3,662$1,700$7,936$4,444$2,063
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,548$3,667$1,702$8,642$4,840$2,247
Carpal Tunnel Surgery 64721)$8,609$4,821$2,238$11,766$6,589$3,059
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$6,369$3,567$1,656$8,308$4,652$2,160
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$23,381$13,094$6,079$39,850$22,316$10,361
Drain/Inject Major Joint or Bursa 20610)$2,098$1,175$545$2,776$1,555$722
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$17,125$9,590$4,452NRNRNR
Left Heart Artery/Ventricle Angiography 93458)$13,515$7,568$3,514$14,274$7,994$3,711
Unlisted Dental Surgery Procedure 41899)$20,301$11,369$5,278$24,503$13,721$6,371
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,008$1,125$522$2,045$1,145$532
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,046$3,946$1,832$8,043$4,504$2,091
Laparoscopic Cholecystectomy 47562)$28,283$15,839$7,354$31,791$17,803$8,266
Esophageal Endoscopy with Dilation 43249)$9,560$5,353$2,486$10,448$5,851$2,717
Total Knee Arthroscopy 27447)$64,210$35,958$16,695NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$40,724$22,805$10,588$41,804$23,410$10,869
Cataract Surgery- Complex 66982)$10,131$5,673$2,634$22,689$12,706$5,899
Cystourethroscopy with Lithotripsy and Stent 52356)$22,610$12,662$5,879$27,591$15,451$7,174
Hysteroscopy with Biopsy 58558)$18,271$10,232$4,751$24,105$13,499$6,267
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$8,559$4,793$2,225$9,266$5,189$2,409
Laparoscopic Hernia Repair - Initial 49650)$32,999$18,480$8,580$36,295$20,325$9,437
Incision of Finger Tendon Sheath 26055)$8,318$4,658$2,163$9,970$5,583$2,592
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$19,284$10,799$5,014$27,678$15,499$7,196
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$26,970$15,103$7,012$34,187$19,145$8,889
Laparoscopy, Removal of Tubes & Ovaries 58571)$49,479$27,708$12,865$62,651$35,085$16,289
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$19,174$10,737$4,985$32,784$18,359$8,524
Mastectomy, Partial 19301)$16,670$9,335$4,334$31,711$17,758$8,245
Cystourethroscopy with Stent 52332)$9,869$5,527$2,566$17,355$9,719$4,512
Laparoscopic Appendectomy 44970)$32,623$18,269$8,482$34,874$19,530$9,067
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$32,813$18,376$8,531$43,261$24,226$11,248
Unlisted Cystourethoscopy 52000)$8,927$4,999$2,321$25,421$14,236$6,610
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$13,315$7,456$3,462$13,848$7,755$3,600
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils 42826)$16,355$9,159$4,252$18,593$10,412$4,834
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,084$9,567$4,442$29,363$16,444$7,634
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$54,656$30,607$14,211
Low Back Disk Surgery 63030)$33,876$18,971$8,808$34,117$19,105$8,870
Debridement Skin/Tissue 11042)$20,042$11,223$5,211$19,067$10,677$4,957
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$20,783$11,639$5,404$27,015$15,128$7,024
Right and Left Heart Artery/Ventricle Angiography 93460)$15,428$8,640$4,011$16,295$9,125$4,237
Decompression of Ulnar Nerve at Elbow 64718)$15,980$8,949$4,155$19,711$11,038$5,125
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$41,544$23,265$10,802
Removal of Adenoids 42830)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$19,240$10,774$5,002$20,957$11,736$5,449
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Implant Neuroelectrodes 63650)$23,600$13,216$6,136$43,918$24,594$11,419
Repair of wrist joints 25447)NRNRNR$22,539$12,622$5,860
Repair of upper eyelid with excessive skin 15823)$8,266$4,629$2,149$9,911$5,550$2,577
ESOPHAGUS MOTILITY STUDY 91010)$620$347$161$1,491$835$388
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$29,974$16,785$7,793$37,021$20,732$9,626
Upper GI Endoscopy w Removal of Foreign Body 43247)$8,266$4,629$2,149$16,553$9,270$4,304
Repair of Hammertoe 28285)$13,709$7,677$3,564$19,099$10,696$4,966
REMOVAL OF SPINAL LAMINA 63047)$30,762$17,227$7,998$34,480$19,309$8,965
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$17,376$9,731$4,518$23,034$12,899$5,989
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$38,879$21,772$10,109$36,769$20,591$9,560
REMOVAL OF TURBINATE BONES 30140)$19,014$10,648$4,944$28,437$15,925$7,394
REDUCTION OF LARGE BREAST 19318)$34,510$19,326$8,973$41,858$23,440$10,883
Information about quality and safety of care for Froedtert Memorial Lutheran Hospital, Inc may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.