Froedtert Menomonee Falls Hospital
W180 N8085 Town Hall Road
Menomonee Falls, WI 53051
262-251-1000
 
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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+$3,304$1,850$727
2560Vaginal Delivery$15,904$8,906$3,499
3720Blood Infection/Septicemia$18,179$10,180$3,999
4194Heart Failure$23,043$12,904$5,069
5751Psychoses$8,283$4,638$1,822
6540Cesarean Delivery$20,672$11,576$4,548
7301Hip Replacement$49,946$27,970$10,988
8302Knee Replacement$48,710$27,278$10,716
9139Pneumonia$21,149$11,843$4,653
10753Bipolar Disorders$9,121$5,108$2,007
11775Alcohol Abuse/Dependence$8,420$4,715$1,852
12201Heart Abnormal Rhythm and Conduction Disorders$13,862$7,762$3,050
13133Respiratory failureNRNRNR
14045Stroke and Precerebral Occlusion with Infarct$22,715$12,720$4,997
15469Acute Kidney Injury$12,602$7,057$2,773
16140Chronic Obstructive Pulmonary Disease$19,945$11,169$4,388
17463Kidney/Urinary Tract Infection$21,523$12,053$4,735
18174Percutaneous coronary intervention w AMI$83,859$46,961$18,449
19383Cellulitis & other skin infections$12,046$6,746$2,650
20750Schizophrenia$10,428$5,840$2,294
21137Respiratory Infections and Inflammations$24,543$13,744$5,399
22420Diabetes$21,333$11,947$4,693
23282Disorders of Pancreas Except Malignancy$23,937$13,405$5,266
24308Hip & femur fracture repair$51,642$28,919$11,361
25247Intestinal Obstruction without Surgery$21,097$11,814$4,641
26231Major large bowel procedures$92,094$51,573$20,261
27190Circulatory Disorders with Heart Attack$25,365$14,204$5,580
28710Infectious & parasitic diseases including HIV w O.R. procedure$51,954$29,094$11,430
29058Other Disorders of Nervous System$28,980$16,229$6,375
30466Malfunction, reaction, complic of genitourinary device or procNRNRNR
31254Other Digestive System Diagnoses$19,930$11,161$4,385
32754Depression$7,138$3,997$1,570
33134Pulmonary Embolism$15,557$8,712$3,423
34304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$81,370$45,567$17,901
35053Seizure$22,319$12,499$4,910
36241Peptic Ulcer/Gastritis$23,302$13,049$5,127
37192Cardiac catheterization for other non-coronary conditions$28,872$16,168$6,352
38175Percutaneous coronary intervention w/o AMI$75,259$42,145$16,557
39244Diverticulitis & Diverticulosis$19,197$10,750$4,223
40263Laparoscopic Cholecystectomy$40,221$22,524$8,849
41322Shoulder & Elbow Joint Replacement$57,034$31,939$12,548
42249Other gastroenteritis, nausea & vomiting$19,348$10,835$4,256
43862Other Factors Influencing Health StatusNRNRNR
44773Opioid Abuse/Dependence$7,939$4,446$1,747
45230Major small bowel procedures$45,536$25,500$10,018
46313Other Knee/Lower Leg Surgery$40,258$22,545$8,857
47426Non-hypovolemic sodium disorders$18,491$10,355$4,068
48861Signs & Symptoms$40,665$22,772$8,946
49253Other and Unspecified Gastrointestinal Hemorrhage$29,490$16,514$6,488
50347Other Back/Neck Disorders, Fractures, Injuries$18,448$10,331$4,059
51566Other Antepartum Diagnoses$10,187$5,705$2,241
52052Nontraumatic stupor & coma$24,729$13,848$5,440
53248Major G.I. Bacterial Infections$29,519$16,531$6,494
54182Other Peripheral Vascular Procedures$55,837$31,269$12,284
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,839$11,670$4,585
56055Head trauma w coma >1 hr or hemorrhage$16,992$9,516$3,738
57351Other Musculoskeletal System and Connective Tissue Diagnoses$13,000$7,280$2,860
58755Neuroses Other Than Depression$4,586$2,568$1,009
59166Coronary bypass w/o AMI or complex PDXNRNRNR
60021Craniotomy Except For TraumaNRNRNR
61721Postoperative and Post-Traumatic InfectionsNRNRNR
62280Alcoholic Liver DiseaseNRNRNR
63113Epiglottitis, Ear Infection, URI and Laryngotracheitis$18,197$10,190$4,003
64817Overdose$23,900$13,384$5,258
65143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,974$6,705$2,634
66425Other Electrolyte Disorders$29,238$16,373$6,432
67024Extracranial Vascular Procedures$42,371$23,728$9,322
68539Cesarean delivery with sterlization$21,141$11,839$4,651
69812Poisoning of Medicinal Agents$17,029$9,536$3,746
70171Pacemaker Implant without Heart Attack, Heart Failure or Shock$55,495$31,077$12,209
71284Disorders of gallbladder & biliary tract$30,270$16,951$6,659
72321Upper Spinal Fusion$66,226$37,086$14,570
73696Other ChemotherapyNRNRNR
74197Peripheral and Other Vascular Disorders$21,541$12,063$4,739
75042Degenerative nervous system disorders exc mult sclerosis$26,605$14,899$5,853

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)NRNRNRNRNRNR
Colonoscopy and Biopsy 45380)$7,241$4,055$1,593$8,729$4,888$1,920
Lesion Removal Colonoscopy by Snare Technique 45385)$7,955$4,455$1,750$9,411$5,270$2,070
Upper GI Endoscopy with Biopsy 43239)$6,989$3,914$1,538$8,841$4,951$1,945
Diagnostic Colonoscopy 45378)$6,711$3,758$1,476$8,897$4,982$1,957
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,384$3,575$1,404$5,626$3,151$1,238
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$6,398$3,583$1,408$5,995$3,357$1,319
Carpal Tunnel Surgery 64721)$6,749$3,779$1,485$7,980$4,469$1,756
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$6,002$3,361$1,321$7,729$4,328$1,700
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$17,068$9,558$3,755$29,516$16,529$6,493
Drain/Inject Major Joint or Bursa 20610)NRNRNR$12,763$7,147$2,808
Total Knee Arthroscopy 27447)$45,527$25,495$10,016$48,469$27,143$10,663
Left Heart Artery/Ventricle Angiography 93458)$12,118$6,786$2,666$19,901$11,145$4,378
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$9,581$5,365$2,108NRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$7,073$3,961$1,556$7,950$4,452$1,749
Laparoscopic Cholecystectomy 47562)$23,239$13,014$5,113$28,889$16,178$6,355
Arthroscopic Rotator Cuff Repair 29827)$28,637$16,037$6,300$32,054$17,950$7,052
Cystourethroscopy with Lithotripsy and Stent 52356)$21,688$12,145$4,771$23,691$13,267$5,212
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$18,012$10,087$3,963$17,790$9,962$3,914
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$45,401$25,424$9,988$42,910$24,029$9,440
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,948$4,451$1,749$9,574$5,361$2,106
Removal of Tonsils And Adenoids - < Age 12 42820)$12,789$7,162$2,814$13,894$7,781$3,057
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$8,097$4,535$1,781$7,013$3,927$1,543
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$29,259$16,385$6,437$35,498$19,879$7,810
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$16,777$9,395$3,691$31,480$17,629$6,926
Laparoscopy, Removal of Tubes & Ovaries 58571)$45,024$25,213$9,905$52,051$29,149$11,451
Cystourethroscopy with Stent 52332)$10,363$5,803$2,280$18,160$10,169$3,995
Laparoscopy - Removal of Adnexal Structures 58661)$25,722$14,404$5,659$30,975$17,346$6,815
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$10,464$5,860$2,302NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Mastectomy, Partial 19301)$17,285$9,680$3,803$31,191$17,467$6,862
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,969$9,503$3,733NRNRNR
Coronary Artery Angio S&I 93454)$14,362$8,043$3,160$24,211$13,558$5,326
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$25,253$14,142$5,556$28,575$16,002$6,287
TOTAL HIP ARTHROPLASTY 27130)$43,848$24,555$9,647$12,822$7,180$2,821
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$17,353$9,718$3,818$25,282$14,158$5,562
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$17,422$9,756$3,833$20,346$11,394$4,476
Low Back Disk Surgery 63030)$28,722$16,084$6,319$36,514$20,448$8,033
Removal of Tonsils 42826)$12,288$6,881$2,703NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$37,715$21,120$8,297$34,098$19,095$7,501
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$16,437$9,205$3,616$49,247$27,579$10,834
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$18,441$10,327$4,057$28,056$15,711$6,172
Decompression of Ulnar Nerve at Elbow 64718)$15,146$8,482$3,332$15,739$8,814$3,462
Right and Left Heart Artery/Ventricle Angiography 93460)$14,957$8,376$3,291$15,986$8,952$3,517
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$29,420$16,475$6,472
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$6,783$3,799$1,492$12,793$7,164$2,814
Removal of Adenoids 42830)NRNRNR$13,370$7,487$2,941
Repair of wrist joints 25447)$17,130$9,593$3,769$22,014$12,328$4,843
Hysteroscopy with Ablation 58563)$21,170$11,855$4,657$29,363$16,443$6,460
REMOVAL OF SPINAL LAMINA 63047)$25,402$14,225$5,588$29,833$16,706$6,563
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
REPAIR DETACHED RETINA 67108)NRNRNRNRNRNR
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNR$116,222$65,085$25,569
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$30,276$16,955$6,661$35,415$19,833$7,791
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
Information about quality and safety of care for Froedtert Menomonee Falls Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.