CPT/HCPCS Code: 45385 Lesion Removal Colonoscopy by Snare January - December 2019 Note: Utilization and charge data are per surgical episode. They may include procedures other than the principal procedure. STATEWIDE DATA Number Average Standard PERCENTILE CHARGES of Cases Charge Deviation 25th 50th 60th 70th 75th 80th 85th 90th 95th All Facilities 64,117 $5,442 $2,757 $3,521 $4,965 $5,332 $5,989 $6,670 $7,393 $8,227 $9,031 $10,342 FASCs 14,881 $4,423 $2,478 $2,660 $3,948 $4,965 $4,965 $5,198 $5,394 $5,955 $8,260 $9,930 Hospitals 49,236 $5,750 $2,762 $3,910 $5,185 $5,599 $6,445 $7,158 $7,707 $8,366 $9,208 $10,709 3 DIGIT ZIP CODE AREA 530** 7,702 $6,126 $2,642 $4,436 $5,556 $5,955 $6,634 $7,277 $8,005 $8,260 $8,925 $10,912 531** 7,497 $7,056 $3,821 $3,836 $7,180 $7,948 $8,755 $9,156 $9,623 $10,338 $11,983 $14,225 532** 8,056 $6,130 $3,191 $3,758 $5,955 $7,300 $7,846 $8,254 $8,397 $8,852 $9,734 $11,457 534** 1,102 $5,251 $1,616 $4,268 $4,700 $4,940 $5,307 $5,661 $6,126 $6,739 $7,292 $8,253 535** 3,589 $5,959 $2,105 $4,658 $5,501 $5,726 $6,173 $6,645 $6,948 $7,517 $8,720 $10,034 537** 5,852 $5,920 $2,316 $4,689 $4,965 $4,965 $5,051 $5,924 $7,547 $9,632 $9,930 $9,930 538** 242 $7,608 $2,293 $5,975 $6,913 $7,250 $8,829 $9,139 $9,719 $10,068 $10,523 $11,555 539** 1,503 $4,845 $1,348 $3,847 $4,685 $4,978 $5,219 $5,422 $5,645 $5,956 $6,345 $7,165 540** 650 $4,280 $979 $3,825 $4,147 $4,233 $4,335 $4,410 $4,496 $4,648 $4,917 $5,647 541** 959 $4,395 $1,971 $3,168 $3,692 $4,034 $5,184 $5,402 $5,889 $6,293 $7,030 $8,716 542** 853 $5,610 $1,338 $5,132 $5,331 $5,475 $5,707 $5,762 $5,857 $6,171 $6,388 $7,619 543** 4,787 $5,573 $1,644 $4,695 $5,332 $5,395 $5,506 $5,646 $5,817 $6,396 $7,781 $8,781 544** 5,908 $3,363 $1,540 $2,568 $2,883 $3,081 $3,850 $3,868 $4,165 $4,921 $5,578 $6,227 545** 965 $4,008 $1,506 $2,569 $3,964 $4,487 $5,121 $5,136 $5,138 $5,392 $5,781 $6,262 546** 3,488 $4,074 $2,199 $2,587 $2,893 $3,464 $4,163 $4,891 $5,858 $6,415 $7,266 $8,611 547** 3,446 $6,107 $2,704 $4,319 $5,401 $6,036 $6,863 $7,658 $8,170 $8,874 $9,733 $11,043 548** 1,113 $5,029 $2,123 $3,289 $4,296 $5,015 $5,988 $6,455 $6,751 $7,171 $7,855 $9,323 549** 6,405 $3,977 $1,905 $2,595 $3,328 $3,661 $4,326 $4,801 $5,120 $5,526 $6,415 $7,938 CPT/HCPCS Code: 45385 Lesion Removal Colonoscopy by Snare January - December 2019 Note: Utilization and charge data are per surgical episode. They may include procedures other than the principal procedure. BY FACILITY WITHIN 3 DIGIT ZIP CODE Type of Number Average Median Standard (Excludes Facilities with fewer than 3 cases) Facility of Cases Charge Charge Deviation ZIP: 530** 017 Ascension SE Wisconsin - Elmbrook Campus Brookfield H 747 $5,332 $4,995 $1,455 019 Ascension Calumet Hospital Chilton H 192 $5,479 $4,936 $1,479 414 Aurora Surgery Center, LLC - Germantown Germantown H 294 $6,378 $4,130 $3,099 315 Aurora Medical Center in Grafton Grafton H 522 $10,677 $9,127 $3,687 043 Aurora Medical Center in Hartford Hartford H 393 $7,735 $7,085 $2,249 072 Froedtert Menomonee Falls Hospital Menomonee Falls H 38 $8,986 $8,203 $1,966 222 Menomonee Falls ASC Menomonee Falls F 305 $5,191 $5,670 $1,706 110 Ascension Columbia St. Mary's Hospital Mequon H 588 $6,162 $5,795 $1,208 Ozaukee 253 East Mequon Surgery Center LLC Mequon F 801 $6,464 $4,130 $2,915 276 Lake Country Endoscopy Center LLC Oconomowoc F 1,015 $4,206 $2,660 $1,863 098 ProHealth Oconomowoc Memorial Hospital Oconomowoc H 43 $9,358 $8,676 $2,135 124 Aurora Sheboygan Memorial Medical Center Sheboygan H 931 $5,069 $4,558 $1,390 125 St Nicholas Hospital Sheboygan H 438 $6,509 $5,731 $1,579 314 Aurora Medical Center in Summit Summit H 907 $6,532 $5,873 $1,949 139 Watertown Regional Medical Center Watertown H 127 $7,311 $6,993 $2,156 151 Froedtert West Bend Hospital West Bend H 31 $7,601 $6,853 $2,257 233 West Bend Surgery Center West Bend F 330 $4,858 $5,944 $1,853 ZIP: 531** 018 Aurora Medical Center Burlington Burlington H 784 $8,773 $8,107 $2,196 182 Aurora St Luke's Medical Center - South Shore Cudahy H 218 $9,326 $8,272 $2,805 032 Aurora Lakeland Medical Center in Elkhorn Elkhorn H 38 $10,410 $8,955 $2,824 311 Ascension SE Wisconsin Hospital - Franklin Franklin H 904 $5,109 $4,743 $1,252 Campus 280 The Surgery Center, LLC Franklin F 91 $5,634 $3,585 $2,515 189 Aurora Medical Center in Kenosha Kenosha H 765 $10,964 $9,633 $3,686 305 Froedtert South Kenosha H 719 $11,542 $10,294 $3,034 309 Mercyhealth Hospital and Medical Center - Lake Geneva H 103 $9,465 $9,273 $1,361 Walworth 422 Southern Lakes Endoscopy LLC Mukwonago H 506 $3,856 $2,660 $1,596 423 Drexel Town Square Surgery Center, LLC Oak Creek H 68 $5,401 $5,955 $1,730 290 GI Specialists, LLC d/b/a Moreland Endoscopy Waukesha F 2,175 $3,652 $2,660 $1,473 Center 281 ProHealth Care Moreland Surgery Center Waukesha F 28 $2,717 $2,536 $665 141 ProHealth Waukesha Memorial Hospital Waukesha H 1,098 $9,525 $8,591 $2,394 CPT/HCPCS Code: 45385 Lesion Removal Colonoscopy by Snare January - December 2019 Note: Utilization and charge data are per surgical episode. They may include procedures other than the principal procedure. BY FACILITY WITHIN 3 DIGIT ZIP CODE Type of Number Average Median Standard (Excludes Facilities with fewer than 3 cases) Facility of Cases Charge Charge Deviation ZIP: 532** 424 Aurora Surgery Center, LLC - Greenfield Greenfield H 14 $7,080 $8,260 $2,524 316 Ascension Columbia St. Mary's Hospital Milwaukee H 1,069 $6,181 $5,798 $1,919 Milwaukee 086 Ascension SE Wisconsin Hospital - St. Joseph Milwaukee H 299 $4,901 $4,591 $1,067 Campus 085 Ascension St. Francis Hospital Milwaukee H 226 $5,364 $4,950 $1,453 168 Aurora Sinai Medical Center Milwaukee H 294 $8,812 $8,330 $1,683 087 Aurora St Luke's Medical Center Milwaukee H 849 $9,767 $8,724 $2,781 225 Center for Digestive Health Milwaukee F 571 $2,919 $1,974 $1,225 079 Froedtert Hospital Milwaukee H 599 $8,318 $7,889 $1,861 258 Froedtert Surgery Center LLC Milwaukee F 281 $5,221 $5,920 $2,021 208 North Shore Surgical Center Milwaukee F 497 $8,135 $8,260 $2,947 259 Wisconsin Surgery Center LLC Milwaukee F 14 $6,285 $5,529 $2,136 250 Mayfair Digestive Health Center LLC Wauwatosa F 1,757 $2,968 $1,974 $1,308 150 Aurora West Allis Medical Center West Allis H 268 $10,680 $9,578 $2,796 407 Wisconsin Digestive Health Center West Allis H 1,316 $6,668 $7,300 $2,437 ZIP: 534** 302 Ascension All Saints Hospital Racine H 1,102 $5,251 $4,700 $1,616 ZIP: 535** 011 Beloit Health System Beloit H 168 $7,948 $6,923 $2,334 025 Memorial Hospital of Lafayette Co. Darlington H 29 $10,821 $10,534 $1,701 026 Upland Hills Health Inc Dodgeville H 265 $5,910 $4,563 $2,374 031 Edgerton Hospital and Health Services Edgerton H 24 $7,457 $7,092 $1,831 035 Fort HealthCare Fort Atkinson H 312 $8,901 $9,474 $2,685 048 Mercy Health Hospital and Trauma Center - Janesville H 1,159 $4,923 $4,479 $1,720 Janesville 317 St Mary's Janesville Hospital Janesville H 516 $6,008 $5,502 $1,212 091 Monroe Clinic Monroe H 404 $6,226 $6,005 $1,060 113 Sauk Prairie Healthcare Prairie du Sac H 501 $5,499 $5,280 $858 120 The Richland Hospital Inc Richland Center H 41 $7,283 $6,154 $2,571 132 Stoughton Hospital Association Stoughton H 170 $4,940 $4,791 $789 ZIP: 537** 063 St Mary's Hospital Madison H 46 $7,998 $7,580 $1,235 209 Surgery and Care Center Madison F 3,204 $6,395 $4,965 $2,540 061 UnityPoint Health - Meriter Madison H 277 $6,619 $6,120 $1,551 064 UW Hospital and Clinics Authority Madison H 2,325 $5,141 $4,452 $1,798 ZIP: 538** 016 Gundersen Boscobel Area Hospital and Clinics Boscobel H 21 $7,553 $6,950 $2,054 059 Grant Regional Health Center Lancaster H 10 $3,311 $3,292 $246 108 Southwest Health Platteville H 182 $8,054 $7,271 $2,232 112 Crossing Rivers Health Prairie du Chien H 29 $6,332 $6,154 $650 CPT/HCPCS Code: 45385 Lesion Removal Colonoscopy by Snare January - December 2019 Note: Utilization and charge data are per surgical episode.