Froedtert Hospital
9200 W Wisconsin Ave, PO Box 26099
Milwaukee, WI 53226
414-805-3000
 
PPS Rule Machine Readable Transparency File Download Hospital Charges

WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2020 - June 2021
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,418$1,914$889
2560Vaginal Delivery$15,206$8,515$3,953
3720Blood Infection/Septicemia$20,948$11,731$5,446
4137Respiratory Infections and Inflammations$41,537$23,261$10,800
5194Heart Failure$19,229$10,768$5,000
6751PsychosesNRNRNR
7540Cesarean Delivery$26,497$14,838$6,889
8775Alcohol Abuse/Dependence$11,607$6,500$3,018
9753Bipolar Disorders$19,064$10,676$4,957
10201Heart Abnormal Rhythm and Conduction Disorders$15,377$8,611$3,998
11045Stroke and Precerebral Occlusion with Infarct$27,203$15,234$7,073
12469Acute Kidney Injury$27,112$15,183$7,049
13463Kidney/Urinary Tract Infection$20,927$11,719$5,441
14133Respiratory failure$37,170$20,815$9,664
15174Percutaneous coronary intervention w AMI$77,364$43,324$20,115
16139Pneumonia$17,495$9,797$4,549
17420Diabetes$14,768$8,270$3,840
18750Schizophrenia$29,333$16,427$7,627
19383Cellulitis & other skin infections$15,627$8,751$4,063
20282Disorders of Pancreas Except Malignancy$21,069$11,799$5,478
21308Hip & femur fracture repair$77,252$43,261$20,086
22247Intestinal Obstruction without Surgery$21,529$12,056$5,597
23326Elective knee joint replacementNRNRNR
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel procedures$78,567$43,997$20,427
26058Other Disorders of Nervous System$41,748$23,379$10,854
27304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$92,710$51,917$24,105
28140Chronic Obstructive Pulmonary Disease$19,276$10,794$5,012
29254Other Digestive System Diagnoses$24,898$13,943$6,473
30466Malfunction, reaction, complic of genitourinary device or proc$20,027$11,215$5,207
31190Circulatory Disorders with Heart Attack$36,799$20,607$9,568
32134Pulmonary Embolism$20,216$11,321$5,256
33754DepressionNRNRNR
34192Cardiac catheterization for other non-coronary conditions$35,602$19,937$9,256
35053Seizure$20,381$11,413$5,299
36241Peptic Ulcer/Gastritis$22,709$12,717$5,904
37244Diverticulitis & Diverticulosis$21,763$12,187$5,658
38324Elective hip joint replacement$77,653$43,486$20,190
39263Laparoscopic Cholecystectomy$52,983$29,671$13,776
40175Percutaneous coronary intervention w/o AMI$105,059$58,833$27,315
41862Other Factors Influencing Health Status$19,457$10,896$5,059
42230Major small bowel procedures$64,691$36,227$16,820
43773Opioid Abuse/Dependence$11,768$6,590$3,060
44426Non-hypovolemic sodium disorders$13,835$7,748$3,597
45861Signs & Symptoms$22,570$12,639$5,868
46322Shoulder & Elbow Joint Replacement$74,039$41,462$19,250
47301Hip Replacement$104,567$58,558$27,187
48249Other gastroenteritis, nausea & vomiting$21,438$12,005$5,574
49347Other Back/Neck Disorders, Fractures, Injuries$25,912$14,511$6,737
50052Nontraumatic stupor & comaNRNRNR
51302Knee ReplacementNRNRNR
52253Other and Unspecified Gastrointestinal Hemorrhage$24,440$13,687$6,355
53566Other Antepartum Diagnoses$9,829$5,504$2,556
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$19,566$10,957$5,087
55313Other Knee/Lower Leg Surgery$75,089$42,050$19,523
56539Cesarean delivery with sterlization$26,357$14,760$6,853
57021Craniotomy Except For Trauma$84,941$47,567$22,085
58183Percutaneous structural cardiac procedures$143,277$80,235$37,252
59323Non-elective or complex hip joint replacement$90,918$50,914$23,639
60280Alcoholic Liver Disease$33,274$18,633$8,651
61055Head trauma w coma >1 hr or hemorrhage$18,024$10,093$4,686
62351Other Musculoskeletal System and Connective Tissue Diagnoses$22,735$12,732$5,911
63182Other Peripheral Vascular Procedures$106,597$59,694$27,715
64721Postoperative and Post-Traumatic Infections$22,800$12,768$5,928
65425Other Electrolyte Disorders$12,756$7,143$3,316
66248Major G.I. Bacterial Infections$24,527$13,735$6,377
67166Coronary bypass w/o AMI or complex PDXNRNRNR
68403Surgical Procedures for Obesity$68,826$38,543$17,895
69817Overdose$10,104$5,658$2,627
70755Neuroses Other Than DepressionNRNRNR
71171Pacemaker Implant without Heart Attack, Heart Failure or Shock$50,784$28,439$13,204
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$17,845$9,993$4,640
73284Disorders of gallbladder & biliary tract$28,532$15,978$7,418
74042Degenerative nervous system disorders exc mult sclerosis$20,203$11,313$5,253
75163Cardiac valve procedures w/o AMI or complex PDXNRNRNR

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 2020 - June 2021

 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*
Lesion Removal Colonoscopy by Snare Technique 45385)$8,559$4,793$2,225$10,131$5,673$2,634
Cataract Surgery with Intraocular Lens - Stage 1 66984)$9,963$5,579$2,590$22,339$12,510$5,808
Colonoscopy and Biopsy 45380)$8,690$4,867$2,259$9,779$5,476$2,542
Upper GI Endoscopy with Biopsy 43239)$7,991$4,475$2,078$10,448$5,851$2,717
Diagnostic Colonoscopy 45378)$7,643$4,280$1,987$9,071$5,080$2,358
Injection into Lumbar or Sacral Area, Single Level 64483)$2,062$1,155$536$2,128$1,192$553
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,059$1,153$535$2,121$1,188$551
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$7,554$4,230$1,964$8,460$4,738$2,200
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,135$1,196$555$2,179$1,220$567
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$7,448$4,171$1,937$10,785$6,040$2,804
Total Knee Arthroscopy 27447)$61,493$34,436$15,988NRNRNR
Carpal Tunnel Surgery 64721)$10,499$5,879$2,730$12,156$6,807$3,161
Uppr GI Endoscopy- Diagnostic 43235)$6,887$3,857$1,791$9,253$5,182$2,406
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$27,689$15,506$7,199NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)$64,002$35,841$16,640$67,137$37,597$17,456
Left Heart Artery/Ventricle Angiography 93458)$19,349$10,835$5,031$26,014$14,568$6,764
Drain/Inject Major Joint or Bursa 20610)$2,099$1,175$546$2,067$1,157$537
Unlisted Dental Surgery Procedure 41899)$25,603$14,338$6,657$27,704$15,514$7,203
Esophageal Endoscopy with Dilation 43249)$10,139$5,678$2,636$11,927$6,679$3,101
Arthroscopic Rotator Cuff Repair 29827)$44,324$24,821$11,524$50,221$28,124$13,057
Cystourethroscopy with Lithotripsy and Stent 52356)$24,993$13,996$6,498$28,183$15,782$7,328
Laparoscopic Cholecystectomy 47562)$32,626$18,271$8,483$38,195$21,389$9,931
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$11,550$6,468$3,003$19,347$10,835$5,030
Hysteroscopy with Biopsy 58558)$21,542$12,063$5,601$25,302$14,169$6,579
Laparoscopic Hernia Repair - Initial 49650)$49,851$27,916$12,961$53,039$29,702$13,790
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$9,188$5,145$2,389$10,461$5,858$2,720
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,040$1,142$530$2,147$1,203$558
Incision of Finger Tendon Sheath 26055)$9,781$5,477$2,543$11,585$6,488$3,012
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$8,359$4,681$2,173$8,894$4,981$2,312
Laparoscopy, Removal of Tubes & Ovaries 58571)$52,616$29,465$13,680$65,704$36,794$17,083
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$32,591$18,251$8,474$39,196$21,950$10,191
Laparoscopy - Removal of Adnexal Structures 58661)$32,306$18,092$8,400$41,257$23,104$10,727
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$22,581$12,646$5,871$34,288$19,202$8,915
Mastectomy, Partial 19301)$17,869$10,007$4,646$34,954$19,574$9,088
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$12,116$6,785$3,150$21,011$11,766$5,463
Unlisted Cystourethoscopy 52000)$12,203$6,834$3,173$44,021$24,652$11,445
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$41,882$23,454$10,889$38,776$21,715$10,082
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$31,108$17,421$8,088NRNRNR
Coronary Artery Angio S&I 93454)$17,871$10,008$4,647$25,948$14,531$6,746
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$22,143$12,400$5,757$28,052$15,709$7,294
Creation of Eardrum Opening 69436)$19,528$10,936$5,077$37,625$21,070$9,783
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNR$32,816$18,377$8,532
Removal of Tonsils 42826)$21,248$11,899$5,525$22,869$12,807$5,946
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$23,573$13,201$6,129$21,983$12,311$5,716
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$33,693$18,868$8,760$39,190$21,947$10,190
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$24,226$13,567$6,299$44,844$25,113$11,660
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$54,822$30,700$14,254
Right and Left Heart Artery/Ventricle Angiography 93460)$19,780$11,077$5,143$32,270$18,071$8,390
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$21,916$12,273$5,698$29,483$16,511$7,666
Debridement Skin/Tissue 11042)$23,082$12,926$6,001$24,646$13,802$6,408
REDUCTION OF LARGE BREAST 19318)$40,404$22,626$10,505$44,694$25,028$11,620
Repair of wrist joints 25447)$19,812$11,095$5,151$25,020$14,011$6,505
ESOPHAGUS MOTILITY STUDY 91010)$841$471$219$3,804$2,130$989
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNR$17,753$9,942$4,616
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNR$127,079$71,164$33,040
Mohs Micrographic Tissue Removal 17311)$3,691$2,067$960$7,205$4,035$1,873
REMOVAL OF SPINAL LAMINA 63047)$34,457$19,296$8,959$35,373$19,809$9,197
Upper GI Endoscopy w Removal of Foreign Body 43247)$9,513$5,327$2,473$17,827$9,983$4,635
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$40,366$22,605$10,495
Hysteroscopy with Ablation 58563)$23,032$12,898$5,988$33,543$18,784$8,721
REMOVAL OF TURBINATE BONES 30140)$20,949$11,731$5,447$28,459$15,937$7,399
Biopsy of Prostate 55700)$16,530$9,257$4,298$16,026$8,974$4,167
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$40,738$22,814$10,592$44,923$25,157$11,680
Information about quality and safety of care for Froedtert Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.