Stoughton Hospital Association
900 Ridge Street
Stoughton, WI 53589
608-873-6611
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2017 - September 2018
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/SepticemiaNRNRNR
4194Heart FailureNRNRNR
5302Knee Replacement$36,152$20,607$13,015
6540Cesarean DeliveryNRNRNR
7751PsychosesNRNRNR
8301Hip Replacement$41,468$23,637$14,928
9139Pneumonia$8,652$4,931$3,115
10753Bipolar DisordersNRNRNR
11201Heart Abnormal Rhythm and Conduction Disorders$7,311$4,167$2,632
12775Alcohol Abuse/Dependence$6,050$3,448$2,178
13140Chronic Obstructive Pulmonary Disease$16,370$9,331$5,893
14133Respiratory failureNRNRNR
15469Acute Kidney InjuryNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,625$10,046$6,345
17383Cellulitis & other skin infections$6,886$3,925$2,479
18463Kidney/Urinary Tract Infection$8,621$4,914$3,103
19174Percutaneous coronary intervention w AMINRNRNR
20420Diabetes$5,622$3,204$2,024
21750SchizophreniaNRNRNR
22282Disorders of Pancreas Except Malignancy$10,834$6,175$3,900
23247Intestinal Obstruction without Surgery$4,891$2,788$1,761
24754Depression$4,833$2,755$1,740
25308Hip & femur fracture repair$25,886$14,755$9,319
26053SeizureNRNRNR
27175Percutaneous coronary intervention w/o AMINRNRNR
28231Major large bowel procedures$37,139$21,169$13,370
29254Other Digestive System Diagnoses$6,448$3,675$2,321
30137Respiratory Infections and Inflammations$33,622$19,165$12,104
31190Circulatory Disorders with Heart AttackNRNRNR
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
33263Laparoscopic Cholecystectomy$18,707$10,663$6,734
34058Other Disorders of Nervous SystemNRNRNR
35192Cardiac catheterization for other non-coronary conditionsNRNRNR
36113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
37244Diverticulitis & Diverticulosis$6,176$3,520$2,223
38134Pulmonary Embolism$13,314$7,589$4,793
39249Other gastroenteritis, nausea & vomiting$3,262$1,859$1,174
40773Opioid Abuse/DependenceNRNRNR
41466Malfunction, reaction, complic of genitourinary device or procNRNRNR
42241Peptic Ulcer/GastritisNRNRNR
43710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
44861Signs & Symptoms$11,983$6,830$4,314
45347Other Back/Neck Disorders, Fractures, Injuries$12,525$7,139$4,509
46230Major small bowel procedures$40,026$22,815$14,409
47253Other and Unspecified Gastrointestinal Hemorrhage$1,910$1,089$688
48315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
49313Other Knee/Lower Leg SurgeryNRNRNR
50024Extracranial Vascular ProceduresNRNRNR
51248Major G.I. Bacterial Infections$13,933$7,942$5,016
52351Other Musculoskeletal System and Connective Tissue Diagnoses$7,754$4,420$2,791
53181Lower Extremity Arterial ProceduresNRNRNR
54862Other Factors Influencing Health Status$9,993$5,696$3,598
55812Poisoning of Medicinal AgentsNRNRNR
56426Non-hypovolemic sodium disordersNRNRNR
57021Craniotomy Except For TraumaNRNRNR
58663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
59721Postoperative and Post-Traumatic InfectionsNRNRNR
60052Nontraumatic stupor & coma$9,199$5,243$3,312
61566Other Antepartum DiagnosesNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63055Head trauma w coma >1 hr or hemorrhage$3,778$2,154$1,360
64141Asthma$10,490$5,979$3,776
65143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
66321Upper Spinal FusionNRNRNR
67197Peripheral and Other Vascular DisordersNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69199Hypertension$21,575$12,298$7,767
70284Disorders of gallbladder & biliary tract$7,194$4,100$2,590
71696Other ChemotherapyNRNRNR
72171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
73660Major hematologic/immunologic diag exc sickle cell crisis & coagulNRNRNR
74207Other Circulatory System Diagnoses$14,857$8,469$5,349
75280Alcoholic Liver DiseaseNRNRNR

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:  October 2017 - September 2018

 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)$10,611$6,048$3,820$10,771$6,139$3,877
Colonoscopy and Biopsy 45380)$5,242$2,988$1,887$5,904$3,365$2,125
Lesion Removal Colonoscopy by Snare Technique 45385)$4,800$2,736$1,728NRNRNR
Upper GI Endoscopy with Biopsy 43239)$5,196$2,962$1,871$6,030$3,437$2,171
Diagnostic Colonoscopy 45378)$3,099$1,766$1,115NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)$2,828$1,612$1,018NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,301$742$468NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,761$1,004$634$2,758$1,572$993
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,104$1,769$1,117$3,274$1,866$1,178
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,073$1,752$1,106NRNRNR
Drain/Inject Major Joint or Bursa 20610)$9,354$5,332$3,367$10,646$6,068$3,833
Carpal Tunnel Surgery 64721)$5,588$3,185$2,012NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,151$5,216$3,294$22,514$12,833$8,105
Uppr GI Endoscopy- Diagnostic 43235)$3,093$1,763$1,114$5,057$2,883$1,821
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,007$3,424$2,163NRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,290$2,445$1,544$4,536$2,585$1,633
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,634$7,771$4,908$14,673$8,364$5,282
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,931$2,811$1,775NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$20,742$11,823$7,467
Hysteroscopy with Biopsy 58558)$10,627$6,057$3,826NRNRNR
Cataract Surgery- Complex 66982)$10,945$6,239$3,940$11,003$6,272$3,961
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,042$2,304$1,455NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$6,906$3,936$2,486$8,372$4,772$3,014
Laparoscopic Hernia Repair - Initial 49650)$12,954$7,384$4,663$13,023$7,423$4,688
Incision of Finger Tendon Sheath 26055)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,376$2,494$1,575$7,634$4,351$2,748
Total Knee Arthroscopy 27447)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,113$7,474$4,721$13,895$7,920$5,002
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,001$4,561$2,880NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNR$10,908$6,218$3,927
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,824$7,309$4,616NRNRNR
Laparoscopic Appendectomy 44970)$21,598$12,311$7,775$23,172$13,208$8,342
Mastectomy, Partial 19301)$12,047$6,867$4,337$16,534$9,425$5,952
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,246$5,270$3,328NRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Removal of Tonsils 42826)$8,213$4,681$2,957NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,007$5,704$3,603NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$20,269$11,553$7,297NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$8,917$5,083$3,210$11,671$6,652$4,202
Fragmenting of Kidney Stone 50590)$7,130$4,064$2,567NRNRNR
Debridement Skin/Tissue 11042)$7,277$4,148$2,620$7,660$4,366$2,757
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$10,222$5,826$3,680NRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)$12,828$7,312$4,618$15,837$9,027$5,701
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$7,859$4,480$2,829
Shoulder Arthroscopy/Surgery 29824)$15,143$8,631$5,451$14,728$8,395$5,302
Repair of wrist joints 25447)$16,825$9,590$6,057NRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Repair of Hammertoe 28285)$6,164$3,513$2,219NRNRNR
Information about quality and safety of care for Stoughton Hospital Association may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.