Froedtert Hospital
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 2019 - June 2020
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,498$1,959$909
2560Vaginal Delivery$14,577$8,163$3,790
3720Blood Infection/Septicemia$21,808$12,213$5,670
4194Heart Failure$19,215$10,761$4,996
5751Psychoses$9,675$5,418$2,515
6540Cesarean Delivery$24,746$13,858$6,434
7301Hip Replacement$75,983$42,551$19,756
8302Knee Replacement$68,362$38,283$17,774
9139Pneumonia$13,173$7,377$3,425
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$11,304$6,330$2,939
12201Heart Abnormal Rhythm and Conduction Disorders$11,930$6,681$3,102
13133Respiratory failureNRNRNR
14045Stroke and Precerebral Occlusion with Infarct$24,256$13,583$6,307
15469Acute Kidney Injury$14,976$8,387$3,894
16140Chronic Obstructive Pulmonary Disease$15,667$8,773$4,073
17463Kidney/Urinary Tract Infection$19,767$11,069$5,139
18174Percutaneous coronary intervention w AMI$77,371$43,328$20,116
19383Cellulitis & other skin infections$13,518$7,570$3,515
20750Schizophrenia$5,354$2,998$1,392
21137Respiratory Infections and Inflammations$18,772$10,513$4,881
22420Diabetes$16,154$9,046$4,200
23282Disorders of Pancreas Except Malignancy$21,542$12,063$5,601
24308Hip & femur fracture repair$68,532$38,378$17,818
25247Intestinal Obstruction without Surgery$19,234$10,771$5,001
26231Major large bowel procedures$73,721$41,284$19,168
27190Circulatory Disorders with Heart Attack$31,819$17,819$8,273
28710Infectious & parasitic diseases including HIV w O.R. procedure$26,370$14,767$6,856
29058Other Disorders of Nervous System$34,055$19,071$8,854
30466Malfunction, reaction, complic of genitourinary device or proc$12,202$6,833$3,172
31254Other Digestive System Diagnoses$19,257$10,784$5,007
32754DepressionNRNRNR
33134Pulmonary Embolism$18,519$10,371$4,815
34304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$85,555$47,911$22,244
35053Seizure$19,961$11,178$5,190
36241Peptic Ulcer/Gastritis$16,053$8,990$4,174
37192Cardiac catheterization for other non-coronary conditions$28,397$15,903$7,383
38175Percutaneous coronary intervention w/o AMI$98,829$55,344$25,695
39244Diverticulitis & Diverticulosis$22,129$12,392$5,753
40263Laparoscopic Cholecystectomy$50,430$28,241$13,112
41322Shoulder & Elbow Joint Replacement$68,787$38,521$17,885
42249Other gastroenteritis, nausea & vomiting$19,528$10,936$5,077
43862Other Factors Influencing Health Status$29,605$16,579$7,697
44773Opioid Abuse/Dependence$8,305$4,651$2,159
45230Major small bowel procedures$59,581$33,365$15,491
46313Other Knee/Lower Leg Surgery$63,052$35,309$16,394
47426Non-hypovolemic sodium disorders$12,641$7,079$3,287
48861Signs & Symptoms$14,684$8,223$3,818
49253Other and Unspecified Gastrointestinal Hemorrhage$13,100$7,336$3,406
50347Other Back/Neck Disorders, Fractures, Injuries$24,396$13,662$6,343
51566Other Antepartum Diagnoses$7,814$4,376$2,032
52052Nontraumatic stupor & coma$16,503$9,242$4,291
53248Major G.I. Bacterial Infections$17,899$10,023$4,654
54182Other Peripheral Vascular Procedures$107,959$60,457$28,069
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,752$11,621$5,395
56055Head trauma w coma >1 hr or hemorrhage$18,042$10,103$4,691
57351Other Musculoskeletal System and Connective Tissue Diagnoses$26,326$14,742$6,845
58755Neuroses Other Than Depression$36,921$20,676$9,599
59166Coronary bypass w/o AMI or complex PDX$160,143$89,680$41,637
60021Craniotomy Except For Trauma$87,014$48,728$22,624
61721Postoperative and Post-Traumatic Infections$26,759$14,985$6,957
62280Alcoholic Liver Disease$21,840$12,230$5,678
63113Epiglottitis, Ear Infection, URI and Laryngotracheitis$14,083$7,886$3,662
64817Overdose$9,916$5,553$2,578
65143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,848$4,955$2,301
66425Other Electrolyte Disorders$14,462$8,099$3,760
67024Extracranial Vascular Procedures$59,070$33,079$15,358
68539Cesarean delivery with sterlization$25,802$14,449$6,709
69812Poisoning of Medicinal Agents$11,544$6,465$3,001
70171Pacemaker Implant without Heart Attack, Heart Failure or Shock$47,523$26,613$12,356
71284Disorders of gallbladder & biliary tract$26,701$14,953$6,942
72321Upper Spinal Fusion$73,916$41,393$19,218
73696Other Chemotherapy$39,643$22,200$10,307
74197Peripheral and Other Vascular Disorders$12,871$7,208$3,346
75042Degenerative nervous system disorders exc mult sclerosis$15,053$8,430$3,914

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 2019 - June 2020

 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)$10,245$5,737$2,664$22,352$12,517$5,811
Colonoscopy and Biopsy 45380)$8,126$4,551$2,113$9,298$5,207$2,418
Lesion Removal Colonoscopy by Snare Technique 45385)$8,056$4,512$2,095$9,527$5,335$2,477
Upper GI Endoscopy with Biopsy 43239)$7,689$4,306$1,999$9,872$5,528$2,567
Diagnostic Colonoscopy 45378)$7,282$4,078$1,893$8,863$4,963$2,304
Injection into Lumbar or Sacral Area, Single Level 64483)$2,002$1,121$520$2,125$1,190$552
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$2,036$1,140$529$2,110$1,182$549
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,127$1,191$553$2,298$1,287$597
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$7,211$4,038$1,875$8,439$4,726$2,194
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$7,126$3,991$1,853$7,613$4,264$1,980
Carpal Tunnel Surgery 64721)$9,267$5,190$2,409$12,289$6,882$3,195
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$6,893$3,860$1,792$8,916$4,993$2,318
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$26,665$14,932$6,933$34,986$19,592$9,096
Drain/Inject Major Joint or Bursa 20610)$2,129$1,192$554$18,243$10,216$4,743
Total Knee Arthroscopy 27447)$52,794$29,565$13,727$58,886$32,976$15,310
Left Heart Artery/Ventricle Angiography 93458)$15,586$8,728$4,052$16,502$9,241$4,291
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$2,054$1,150$534NRNRNR
Creation of Eardrum Opening 69436)$12,054$6,750$3,134$31,005$17,363$8,061
Unlisted Dental Surgery Procedure 41899)$22,537$12,620$5,860$23,695$13,269$6,161
Esophageal Endoscopy with Dilation 43249)$10,040$5,623$2,610$11,231$6,290$2,920
Laparoscopic Cholecystectomy 47562)$29,545$16,545$7,682$35,103$19,658$9,127
Arthroscopic Rotator Cuff Repair 29827)$37,382$20,934$9,719$44,593$24,972$11,594
Cystourethroscopy with Lithotripsy and Stent 52356)$23,674$13,258$6,155$29,654$16,606$7,710
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$1,962$1,099$510$2,107$1,180$548
Hysteroscopy with Biopsy 58558)$19,374$10,849$5,037$26,232$14,690$6,820
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$35,718$20,002$9,287$54,708$30,637$14,224
Uppr GI Endoscopy with Guide Wire 43248)$9,368$5,246$2,436$10,455$5,855$2,718
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$8,172$4,576$2,125$8,695$4,869$2,261
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$11,932$6,682$3,102$22,085$12,368$5,742
Incision of Finger Tendon Sheath 26055)$8,853$4,958$2,302$10,747$6,019$2,794
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$29,218$16,362$7,597$36,272$20,313$9,431
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$20,438$11,445$5,314$29,789$16,682$7,745
Laparoscopy, Removal of Tubes & Ovaries 58571)$56,709$31,757$14,744$63,324$35,461$16,464
Cystourethroscopy with Stent 52332)$11,626$6,511$3,023$19,150$10,724$4,979
Laparoscopy - Removal of Adnexal Structures 58661)$30,087$16,848$7,823$41,401$23,185$10,764
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$10,641$5,959$2,767$12,697$7,110$3,301
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Mastectomy, Partial 19301)$16,612$9,303$4,319$32,720$18,323$8,507
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$21,644$12,121$5,627$31,248$17,499$8,125
Coronary Artery Angio S&I 93454)$15,505$8,683$4,031$15,844$8,872$4,119
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$32,482$18,190$8,445$42,675$23,898$11,095
TOTAL HIP ARTHROPLASTY 27130)$63,217$35,402$16,436NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$25,727$14,407$6,689$27,115$15,185$7,050
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$16,737$9,372$4,352$22,483$12,591$5,846
Low Back Disk Surgery 63030)$34,657$19,408$9,011$39,551$22,148$10,283
Removal of Tonsils 42826)$18,049$10,107$4,693NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$51,388$28,777$13,361$62,024$34,733$16,126
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$19,216$10,761$4,996$44,474$24,905$11,563
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$16,409$9,189$4,266$27,075$15,162$7,040
Decompression of Ulnar Nerve at Elbow 64718)$19,247$10,779$5,004$17,814$9,976$4,632
Right and Left Heart Artery/Ventricle Angiography 93460)$17,342$9,712$4,509$23,864$13,364$6,205
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$39,995$22,397$10,399
ESOPHAGUS MOTILITY STUDY 91010)$701$392$182$1,737$973$452
Upper GI Endoscopy w Removal of Foreign Body 43247)$8,848$4,955$2,300$18,602$10,417$4,836
Removal of Adenoids 42830)NRNRNRNRNRNR
Repair of wrist joints 25447)$24,879$13,932$6,468$23,359$13,081$6,073
Hysteroscopy with Ablation 58563)$21,789$12,202$5,665$38,636$21,636$10,045
REMOVAL OF SPINAL LAMINA 63047)$29,157$16,328$7,581$34,275$19,194$8,911
Repair of upper eyelid with excessive skin 15823)$9,875$5,530$2,567$13,180$7,381$3,427
REPAIR DETACHED RETINA 67108)$26,870$15,047$6,986$26,388$14,777$6,861
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNR$125,560$70,314$32,646
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$38,789$21,722$10,085$42,318$23,698$11,003
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)$18,212$10,199$4,735$18,365$10,284$4,775
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.