Top 75 Reports

	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 *
Rank	APR- DRG	Description	Median Charge	Private Insurance	Medicare
1	640	Normal Newborn, Birthweight 2500g+	$3,418	$1,914	$889
2	560	Vaginal Delivery	$15,206	$8,515	$3,953
3	720	Blood Infection/Septicemia	$20,948	$11,731	$5,446
4	137	Respiratory Infections and Inflammations	$41,537	$23,261	$10,800
5	194	Heart Failure	$19,229	$10,768	$5,000
6	751	Psychoses	NR	NR	NR
7	540	Cesarean Delivery	$26,497	$14,838	$6,889
8	775	Alcohol Abuse/Dependence	$11,607	$6,500	$3,018
9	753	Bipolar Disorders	$19,064	$10,676	$4,957
10	201	Heart Abnormal Rhythm and Conduction Disorders	$15,377	$8,611	$3,998
11	045	Stroke and Precerebral Occlusion with Infarct	$27,203	$15,234	$7,073
12	469	Acute Kidney Injury	$27,112	$15,183	$7,049
13	463	Kidney/Urinary Tract Infection	$20,927	$11,719	$5,441
14	133	Respiratory failure	$37,170	$20,815	$9,664
15	174	Percutaneous coronary intervention w AMI	$77,364	$43,324	$20,115
16	139	Pneumonia	$17,495	$9,797	$4,549
17	420	Diabetes	$14,768	$8,270	$3,840
18	750	Schizophrenia	$29,333	$16,427	$7,627
19	383	Cellulitis & other skin infections	$15,627	$8,751	$4,063
20	282	Disorders of Pancreas Except Malignancy	$21,069	$11,799	$5,478
21	308	Hip & femur fracture repair	$77,252	$43,261	$20,086
22	247	Intestinal Obstruction without Surgery	$21,529	$12,056	$5,597
23	326	Elective knee joint replacement	NR	NR	NR
24	710	Infectious & parasitic diseases including HIV w O.R. procedure	NR	NR	NR
25	231	Major large bowel procedures	$78,567	$43,997	$20,427
26	058	Other Disorders of Nervous System	$41,748	$23,379	$10,854
27	304	Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature	$92,710	$51,917	$24,105
28	140	Chronic Obstructive Pulmonary Disease	$19,276	$10,794	$5,012
29	254	Other Digestive System Diagnoses	$24,898	$13,943	$6,473
30	466	Malfunction, reaction, complic of genitourinary device or proc	$20,027	$11,215	$5,207
31	190	Circulatory Disorders with Heart Attack	$36,799	$20,607	$9,568
32	134	Pulmonary Embolism	$20,216	$11,321	$5,256
33	754	Depression	NR	NR	NR
34	192	Cardiac catheterization for other non-coronary conditions	$35,602	$19,937	$9,256
35	053	Seizure	$20,381	$11,413	$5,299
36	241	Peptic Ulcer/Gastritis	$22,709	$12,717	$5,904
37	244	Diverticulitis & Diverticulosis	$21,763	$12,187	$5,658
38	324	Elective hip joint replacement	$77,653	$43,486	$20,190
39	263	Laparoscopic Cholecystectomy	$52,983	$29,671	$13,776
40	175	Percutaneous coronary intervention w/o AMI	$105,059	$58,833	$27,315
41	862	Other Factors Influencing Health Status	$19,457	$10,896	$5,059
42	230	Major small bowel procedures	$64,691	$36,227	$16,820
43	773	Opioid Abuse/Dependence	$11,768	$6,590	$3,060
44	426	Non-hypovolemic sodium disorders	$13,835	$7,748	$3,597
45	861	Signs & Symptoms	$22,570	$12,639	$5,868
46	322	Shoulder & Elbow Joint Replacement	$74,039	$41,462	$19,250
47	301	Hip Replacement	$104,567	$58,558	$27,187
48	249	Other gastroenteritis, nausea & vomiting	$21,438	$12,005	$5,574
49	347	Other Back/Neck Disorders, Fractures, Injuries	$25,912	$14,511	$6,737
50	052	Nontraumatic stupor & coma	NR	NR	NR
51	302	Knee Replacement	NR	NR	NR
52	253	Other and Unspecified Gastrointestinal Hemorrhage	$24,440	$13,687	$6,355
53	566	Other Antepartum Diagnoses	$9,829	$5,504	$2,556
54	663	Red Blood Cell Disorders Except Sickle Cell Anemia Crisis	$19,566	$10,957	$5,087
55	313	Other Knee/Lower Leg Surgery	$75,089	$42,050	$19,523
56	539	Cesarean delivery with sterlization	$26,357	$14,760	$6,853
57	021	Craniotomy Except For Trauma	$84,941	$47,567	$22,085
58	183	Percutaneous structural cardiac procedures	$143,277	$80,235	$37,252
59	323	Non-elective or complex hip joint replacement	$90,918	$50,914	$23,639
60	280	Alcoholic Liver Disease	$33,274	$18,633	$8,651
61	055	Head trauma w coma >1 hr or hemorrhage	$18,024	$10,093	$4,686
62	351	Other Musculoskeletal System and Connective Tissue Diagnoses	$22,735	$12,732	$5,911
63	182	Other Peripheral Vascular Procedures	$106,597	$59,694	$27,715
64	721	Postoperative and Post-Traumatic Infections	$22,800	$12,768	$5,928
65	425	Other Electrolyte Disorders	$12,756	$7,143	$3,316
66	248	Major G.I. Bacterial Infections	$24,527	$13,735	$6,377
67	166	Coronary bypass w/o AMI or complex PDX	NR	NR	NR
68	403	Surgical Procedures for Obesity	$68,826	$38,543	$17,895
69	817	Overdose	$10,104	$5,658	$2,627
70	755	Neuroses Other Than Depression	NR	NR	NR
71	171	Pacemaker Implant without Heart Attack, Heart Failure or Shock	$50,784	$28,439	$13,204
72	143	Other respiratory diagnoses except signs, symptoms & minor diagnoses	$17,845	$9,993	$4,640
73	284	Disorders of gallbladder & biliary tract	$28,532	$15,978	$7,418
74	042	Degenerative nervous system disorders exc mult sclerosis	$20,203	$11,313	$5,253
75	163	Cardiac valve procedures w/o AMI or complex PDX	NR	NR	NR

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 Procedures			With 1 or More Additional Procedures
Principal Procedure	Median Charge	Average Commercial Insurance Payment	Average Medicare Insurance Payment*	Median Charge	Average Commercial Insurance Payment	Average 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	$15,988	NR	NR	NR
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	$7,199	NR	NR	NR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Removal of Tonsils And Adenoids - < Age 12 42820)	NR	NR	NR	NR	NR	NR
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	$8,088	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
FNA BX W/US GDN 1ST LES 10005)	NR	NR	NR	$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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Fragmenting of Kidney Stone 50590)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	$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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	$17,753	$9,942	$4,616
TX ATRIAL FIB PULM VEIN ISOL 93656)	NR	NR	NR	$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)	NR	NR	NR	$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.