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 2020 - June 2021
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,314$1,856$729
2560Vaginal Delivery$15,909$8,909$3,500
3720Blood Infection/Septicemia$18,146$10,162$3,992
4137Respiratory Infections and Inflammations$20,552$11,509$4,521
5194Heart Failure$16,315$9,136$3,589
6751Psychoses$8,745$4,897$1,924
7540Cesarean Delivery$21,801$12,208$4,796
8775Alcohol Abuse/Dependence$9,793$5,484$2,155
9753Bipolar Disorders$10,166$5,693$2,236
10201Heart Abnormal Rhythm and Conduction Disorders$12,912$7,231$2,841
11045Stroke and Precerebral Occlusion with Infarct$22,609$12,661$4,974
12469Acute Kidney Injury$25,228$14,128$5,550
13463Kidney/Urinary Tract Infection$17,911$10,030$3,940
14133Respiratory failureNRNRNR
15174Percutaneous coronary intervention w AMI$65,207$36,516$14,346
16139Pneumonia$17,663$9,891$3,886
17420Diabetes$17,111$9,582$3,765
18750Schizophrenia$16,181$9,061$3,560
19383Cellulitis & other skin infections$16,513$9,247$3,633
20282Disorders of Pancreas Except Malignancy$19,719$11,043$4,338
21308Hip & femur fracture repair$52,508$29,404$11,552
22247Intestinal Obstruction without Surgery$19,351$10,837$4,257
23326Elective knee joint replacement$51,865$29,045$11,410
24710Infectious & parasitic diseases including HIV w O.R. procedure$87,019$48,730$19,144
25231Major large bowel procedures$87,745$49,137$19,304
26058Other Disorders of Nervous System$27,871$15,607$6,132
27304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$98,081$54,925$21,578
28140Chronic Obstructive Pulmonary Disease$14,764$8,268$3,248
29254Other Digestive System Diagnoses$19,208$10,757$4,226
30466Malfunction, reaction, complic of genitourinary device or procNRNRNR
31190Circulatory Disorders with Heart Attack$29,090$16,291$6,400
32134Pulmonary Embolism$19,207$10,756$4,225
33754Depression$6,618$3,706$1,456
34192Cardiac catheterization for other non-coronary conditions$33,358$18,681$7,339
35053Seizure$25,276$14,154$5,561
36241Peptic Ulcer/Gastritis$31,325$17,542$6,891
37244Diverticulitis & Diverticulosis$18,916$10,593$4,161
38324Elective hip joint replacement$53,455$29,935$11,760
39263Laparoscopic Cholecystectomy$54,134$30,315$11,909
40175Percutaneous coronary intervention w/o AMI$72,155$40,407$15,874
41862Other Factors Influencing Health StatusNRNRNR
42230Major small bowel procedures$45,898$25,703$10,097
43773Opioid Abuse/Dependence$5,571$3,120$1,226
44426Non-hypovolemic sodium disorders$17,997$10,078$3,959
45861Signs & Symptoms$26,826$15,023$5,902
46322Shoulder & Elbow Joint Replacement$68,299$38,247$15,026
47301Hip Replacement$57,654$32,286$12,684
48249Other gastroenteritis, nausea & vomiting$20,897$11,702$4,597
49347Other Back/Neck Disorders, Fractures, Injuries$19,741$11,055$4,343
50052Nontraumatic stupor & comaNRNRNR
51302Knee Replacement$55,547$31,107$12,220
52253Other and Unspecified Gastrointestinal Hemorrhage$16,313$9,135$3,589
53566Other Antepartum Diagnoses$4,823$2,701$1,061
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$16,637$9,317$3,660
55313Other Knee/Lower Leg Surgery$48,955$27,415$10,770
56539Cesarean delivery with sterlization$20,935$11,724$4,606
57021Craniotomy Except For TraumaNRNRNR
58183Percutaneous structural cardiac proceduresNRNRNR
59323Non-elective or complex hip joint replacement$69,965$39,181$15,392
60280Alcoholic Liver DiseaseNRNRNR
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62351Other Musculoskeletal System and Connective Tissue Diagnoses$21,165$11,853$4,656
63182Other Peripheral Vascular Procedures$57,528$32,216$12,656
64721Postoperative and Post-Traumatic InfectionsNRNRNR
65425Other Electrolyte DisordersNRNRNR
66248Major G.I. Bacterial Infections$24,436$13,684$5,376
67166Coronary bypass w/o AMI or complex PDXNRNRNR
68403Surgical Procedures for ObesityNRNRNR
69817Overdose$11,952$6,693$2,629
70755Neuroses Other Than Depression$6,533$3,658$1,437
71171Pacemaker Implant without Heart Attack, Heart Failure or Shock$53,551$29,989$11,781
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$35,864$20,084$7,890
73284Disorders of gallbladder & biliary tract$20,428$11,440$4,494
74042Degenerative nervous system disorders exc mult sclerosis$23,541$13,183$5,179
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)$8,386$4,696$1,845$9,722$5,444$2,139
Cataract Surgery with Intraocular Lens - Stage 1 66984)NRNRNRNRNRNR
Colonoscopy and Biopsy 45380)$7,786$4,360$1,713$9,485$5,311$2,087
Upper GI Endoscopy with Biopsy 43239)$7,558$4,233$1,663$9,479$5,308$2,085
Diagnostic Colonoscopy 45378)$6,841$3,831$1,505$7,961$4,458$1,751
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,689$3,746$1,471NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$6,746$3,778$1,484$7,817$4,377$1,720
Total Knee Arthroscopy 27447)$51,543$28,864$11,340$53,338$29,869$11,734
Carpal Tunnel Surgery 64721)$7,710$4,318$1,696$8,855$4,959$1,948
Uppr GI Endoscopy- Diagnostic 43235)$6,001$3,361$1,320$8,797$4,926$1,935
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$18,903$10,586$4,159$34,260$19,186$7,537
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)$47,580$26,645$10,468$53,009$29,685$11,662
Left Heart Artery/Ventricle Angiography 93458)$12,165$6,812$2,676$20,285$11,360$4,463
Drain/Inject Major Joint or Bursa 20610)NRNRNR$33,905$18,987$7,459
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$7,316$4,097$1,610$8,663$4,851$1,906
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$36,734$20,571$8,081
Cystourethroscopy with Lithotripsy and Stent 52356)$23,739$13,294$5,223$27,696$15,510$6,093
Laparoscopic Cholecystectomy 47562)$25,816$14,457$5,679$27,976$15,667$6,155
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$18,807$10,532$4,138$25,758$14,425$5,667
Laparoscopic Hernia Repair - Initial 49650)$40,050$22,428$8,811$52,496$29,398$11,549
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$8,007$4,484$1,762$8,734$4,891$1,921
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,716$4,321$1,698$9,951$5,572$2,189
Laparoscopy, Removal of Tubes & Ovaries 58571)$52,591$29,451$11,570$64,585$36,168$14,209
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$29,387$16,457$6,465$38,126$21,351$8,388
Laparoscopy - Removal of Adnexal Structures 58661)$26,675$14,938$5,869$34,337$19,229$7,554
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$16,796$9,406$3,695$29,132$16,314$6,409
Mastectomy, Partial 19301)$11,163$6,251$2,456$25,167$14,094$5,537
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$12,485$6,992$2,747$20,054$11,230$4,412
Unlisted Cystourethoscopy 52000)$11,494$6,437$2,529NRNRNR
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)$28,205$15,795$6,205$38,434$21,523$8,455
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$20,323$11,381$4,471NRNRNR
Coronary Artery Angio S&I 93454)$16,721$9,364$3,679$23,943$13,408$5,267
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$18,517$10,370$4,074$23,582$13,206$5,188
Creation of Eardrum Opening 69436)$12,368$6,926$2,721NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils 42826)$16,010$8,966$3,522$20,485$11,472$4,507
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$16,825$9,422$3,702$16,022$8,972$3,525
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$31,770$17,791$6,989$36,892$20,659$8,116
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,587$9,849$3,869$33,067$18,517$7,275
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$38,947$21,810$8,568
Right and Left Heart Artery/Ventricle Angiography 93460)$16,972$9,504$3,734$22,104$12,378$4,863
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$22,789$12,762$5,014$27,807$15,572$6,117
Debridement Skin/Tissue 11042)$18,026$10,094$3,966$22,776$12,755$5,011
REDUCTION OF LARGE BREAST 19318)$36,008$20,165$7,922$35,158$19,688$7,735
Repair of wrist joints 25447)$20,020$11,211$4,404$21,789$12,202$4,794
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNR$130,369$73,007$28,681
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)$34,009$19,045$7,482$35,308$19,772$7,768
Upper GI Endoscopy w Removal of Foreign Body 43247)$13,011$7,286$2,862$14,915$8,352$3,281
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$32,468$18,182$7,143
Hysteroscopy with Ablation 58563)$22,013$12,327$4,843NRNRNR
REMOVAL OF TURBINATE BONES 30140)$18,244$10,217$4,014$26,989$15,114$5,938
Biopsy of Prostate 55700)$8,805$4,931$1,937NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$25,694$14,389$5,653$31,588$17,689$6,949
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.