Top 75 Reports

	Froedtert Memorial Lutheran Hospital, Inc 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 2018 - June 2019

(Uncomplicated Cases Only)

				Estimated Insurance Payments *
Rank	APR- DRG	Description	Median Charge	Private Insurance	Medicare
1	640	Normal Newborn, Birthweight 2500g+	$3,201	$1,793	$832
2	560	Vaginal Delivery	$13,647	$7,642	$3,548
3	720	Blood Infection/Septicemia	$23,964	$13,420	$6,231
4	194	Heart Failure	$17,409	$9,749	$4,526
5	540	Cesarean Delivery	$22,660	$12,690	$5,892
6	751	Psychoses	$27,655	$15,487	$7,190
7	301	Hip Replacement	$76,311	$42,734	$19,841
8	302	Knee Replacement	$64,133	$35,914	$16,675
9	139	Pneumonia	$15,963	$8,939	$4,150
10	753	Bipolar Disorders	$11,823	$6,621	$3,074
11	775	Alcohol Abuse/Dependence	$11,315	$6,336	$2,942
12	201	Heart Abnormal Rhythm and Conduction Disorders	$12,909	$7,229	$3,356
13	133	Respiratory failure	NR	NR	NR
14	140	Chronic Obstructive Pulmonary Disease	$11,825	$6,622	$3,075
15	469	Acute Kidney Injury	$12,869	$7,207	$3,346
16	045	Stroke and Precerebral Occlusion with Infarct	$23,552	$13,189	$6,123
17	463	Kidney/Urinary Tract Infection	$17,796	$9,965	$4,627
18	383	Cellulitis & other skin infections	$15,092	$8,452	$3,924
19	750	Schizophrenia	$23,598	$13,215	$6,135
20	174	Percutaneous coronary intervention w AMI	$74,685	$41,824	$19,418
21	420	Diabetes	$14,110	$7,902	$3,669
22	282	Disorders of Pancreas Except Malignancy	$21,868	$12,246	$5,686
23	247	Intestinal Obstruction without Surgery	$16,306	$9,132	$4,240
24	175	Percutaneous coronary intervention w/o AMI	$89,424	$50,078	$23,250
25	308	Hip & femur fracture repair	$70,178	$39,300	$18,246
26	190	Circulatory Disorders with Heart Attack	$26,921	$15,076	$6,999
27	231	Major large bowel procedures	$66,349	$37,155	$17,251
28	254	Other Digestive System Diagnoses	$20,711	$11,598	$5,385
29	053	Seizure	$19,777	$11,075	$5,142
30	754	Depression	$6,300	$3,528	$1,638
31	137	Respiratory Infections and Inflammations	NR	NR	NR
32	304	Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature	$81,772	$45,793	$21,261
33	058	Other Disorders of Nervous System	$25,469	$14,263	$6,622
34	134	Pulmonary Embolism	$14,588	$8,169	$3,793
35	192	Cardiac catheterization for other non-coronary conditions	$26,436	$14,804	$6,873
36	466	Malfunction, reaction, complic of genitourinary device or proc	NR	NR	NR
37	263	Laparoscopic Cholecystectomy	$54,549	$30,547	$14,183
38	244	Diverticulitis & Diverticulosis	$24,899	$13,943	$6,474
39	249	Other gastroenteritis, nausea & vomiting	$22,215	$12,441	$5,776
40	241	Peptic Ulcer/Gastritis	$24,582	$13,766	$6,391
41	710	Infectious & parasitic diseases including HIV w O.R. procedure	$30,215	$16,920	$7,856
42	773	Opioid Abuse/Dependence	$23,089	$12,930	$6,003
43	230	Major small bowel procedures	$54,423	$30,477	$14,150
44	347	Other Back/Neck Disorders, Fractures, Injuries	$20,870	$11,687	$5,426
45	322	Shoulder & Elbow Joint Replacement	$64,981	$36,389	$16,895
46	861	Signs & Symptoms	$15,902	$8,905	$4,134
47	313	Other Knee/Lower Leg Surgery	$61,614	$34,504	$16,020
48	024	Extracranial Vascular Procedures	$77,056	$43,151	$20,035
49	862	Other Factors Influencing Health Status	$32,996	$18,478	$8,579
50	253	Other and Unspecified Gastrointestinal Hemorrhage	$7,569	$4,239	$1,968
51	181	Lower Extremity Arterial Procedures	$92,186	$51,624	$23,968
52	021	Craniotomy Except For Trauma	$72,452	$40,573	$18,838
53	351	Other Musculoskeletal System and Connective Tissue Diagnoses	$17,405	$9,747	$4,525
54	426	Non-hypovolemic sodium disorders	$12,276	$6,874	$3,192
55	812	Poisoning of Medicinal Agents	$15,539	$8,702	$4,040
56	663	Red Blood Cell Disorders Except Sickle Cell Anemia Crisis	$18,764	$10,508	$4,879
57	248	Major G.I. Bacterial Infections	$33,548	$18,787	$8,723
58	052	Nontraumatic stupor & coma	$20,722	$11,604	$5,388
59	055	Head trauma w coma >1 hr or hemorrhage	$14,370	$8,047	$3,736
60	113	Epiglottitis, Ear Infection, URI and Laryngotracheitis	$20,608	$11,540	$5,358
61	166	Coronary bypass w/o AMI or complex PDX	$107,600	$60,256	$27,976
62	721	Postoperative and Post-Traumatic Infections	$18,936	$10,604	$4,923
63	755	Neuroses Other Than Depression	$19,398	$10,863	$5,043
64	143	Other respiratory diagnoses except signs, symptoms & minor diagnoses	$13,515	$7,569	$3,514
65	566	Other Antepartum Diagnoses	$11,521	$6,452	$2,996
66	141	Asthma	$17,790	$9,962	$4,625
67	696	Other Chemotherapy	$14,954	$8,374	$3,888
68	199	Hypertension	$11,789	$6,602	$3,065
69	321	Upper Spinal Fusion	$84,330	$47,225	$21,926
70	171	Pacemaker Implant without Heart Attack, Heart Failure or Shock	$52,063	$29,155	$13,536
71	197	Peripheral and Other Vascular Disorders	$16,205	$9,075	$4,213
72	425	Other Electrolyte Disorders	$15,166	$8,493	$3,943
73	284	Disorders of gallbladder & biliary tract	$29,192	$16,348	$7,590
74	163	Cardiac valve procedures w/o AMI or complex PDX	$116,142	$65,040	$30,197
75	541	Vaginal 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 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*
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Creation of Eardrum Opening 69436)	$17,125	$9,590	$4,452	NR	NR	NR
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	$16,695	NR	NR	NR
After Cataract Laser Surgery 66821)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Angioplasty - peripheral segment of the dialysis circuit 36902)	NR	NR	NR	NR	NR	NR
Coronary Artery Angio S&I 93454)	$13,315	$7,456	$3,462	$13,848	$7,755	$3,600
Wrist Endoscopy/Surgery 29848)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)	NR	NR	NR	$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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	$41,544	$23,265	$10,802
Removal of Adenoids 42830)	NR	NR	NR	NR	NR	NR
Hysteroscopy with Ablation 58563)	$19,240	$10,774	$5,002	$20,957	$11,736	$5,449
DX BONE MARROW BX & ASPIR 38222)	NR	NR	NR	NR	NR	NR
Implant Neuroelectrodes 63650)	$23,600	$13,216	$6,136	$43,918	$24,594	$11,419
Repair of wrist joints 25447)	NR	NR	NR	$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.