Stoughton Hospital Association
900 Ridge Street
Stoughton, WI 53589
608-873-6611

        Charges for 75 Most Common Hospitalizations in Wisconsin:   July 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$11,382$6,715$4,211
4302Knee Replacement$35,986$21,232$13,315
5194Heart Failure$17,892$10,556$6,620
6540Cesarean DeliveryNRNRNR
7301Hip Replacement$41,637$24,566$15,406
8751PsychosesNRNRNR
9139Pneumonia$9,894$5,837$3,661
10140Chronic Obstructive Pulmonary Disease$7,644$4,510$2,828
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$13,473$7,949$4,985
13775Alcohol Abuse/Dependence$5,734$3,383$2,122
14383Cellulitis & other skin infections$5,201$3,069$1,924
15045Stroke and Precerebral Occlusion with Infarct$12,940$7,635$4,788
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$7,805$4,605$2,888
18221Major Bowel Procedures$34,783$20,522$12,870
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21420Diabetes$21,100$12,449$7,807
22469Acute Kidney InjuryNRNRNR
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$7,771$4,585$2,875
25247Intestinal Obstruction without Surgery$8,126$4,794$3,007
26254Other Digestive System Diagnoses$4,447$2,624$1,645
27812Poisoning of Medicinal AgentsNRNRNR
28308Hip & femur fracture repair$24,538$14,477$9,079
29710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
30773Opioid Abuse/DependenceNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32190Circulatory Disorders with Heart AttackNRNRNR
33053SeizureNRNRNR
34175Percutaneous coronary intervention w/o AMINRNRNR
35249Other gastroenteritis, nausea & vomiting$6,880$4,059$2,546
36058Other Disorders of Nervous System$7,668$4,524$2,837
37137Respiratory Infections and Inflammations$8,997$5,308$3,329
38134Pulmonary Embolism$10,980$6,478$4,063
39263Laparoscopic Cholecystectomy$17,453$10,297$6,458
40244Diverticulitis & Diverticulosis$13,268$7,828$4,909
41192Cardiac catheterization for other non-coronary conditionsNRNRNR
42861Signs & Symptoms$19,812$11,689$7,330
43347Other Back/Neck Disorders, Fractures, Injuries$8,438$4,978$3,122
44253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
45241Peptic Ulcer/GastritisNRNRNR
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg SurgeryNRNRNR
48425Other Electrolyte DisordersNRNRNR
49315Shoulder, upper arm & forearm procedures except joint replacement$22,933$13,530$8,485
50248Major G.I. Bacterial Infections$12,711$7,499$4,703
51351Other Musculoskeletal System and Connective Tissue Diagnoses$9,375$5,531$3,469
52951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
53024Extracranial Vascular ProceduresNRNRNR
54113Epiglottitis, Ear Infection, URI and Laryngotracheitis$8,901$5,252$3,293
55021Craniotomy Except For TraumaNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
57862Other Factors Influencing Health StatusNRNRNR
58321Upper Spinal FusionNRNRNR
59566Other Antepartum DiagnosesNRNRNR
60055Head trauma w coma >1 hr or hemorrhageNRNRNR
61422HypovolemiaNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63197Peripheral and Other Vascular DisordersNRNRNR
64181Lower Extremity Arterial ProceduresNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66141Asthma$5,044$2,976$1,866
67460Renal FailureNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69225AppendectomyNRNRNR
70721Postoperative and Post-Traumatic InfectionsNRNRNR
71143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
72144Respiratory System Signs, Symptoms and Minor Diagnoses$10,260$6,053$3,796
73163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR

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 2016 - June 2017

 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)$10,313$6,085$3,816$10,865$6,411$4,020
Colonoscopy and Biopsy (45380)$4,771$2,815$1,765$5,227$3,084$1,934
Lesion Removal Colonoscopy by Snare Technique (45385)$4,873$2,875$1,803$5,563$3,282$2,058
Upper GI Endoscopy with Biopsy (43239)$4,962$2,928$1,836$5,921$3,493$2,191
Diagnostic Colonoscopy (45378)$3,094$1,826$1,145$4,993$2,946$1,847
Injection into Lumbar or Sacral Area, Single Level (64483)$2,912$1,718$1,078NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$2,579$1,522$954NRNRNR
Drain/Inject Major Joint or Bursa (20610)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,109$1,834$1,150NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,128$1,845$1,157NRNRNR
Carpal Tunnel Surgery (64721)$5,729$3,380$2,120$6,203$3,660$2,295
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$1,199$707$444NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,995$5,307$3,328$9,529$5,622$3,526
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$3,212$1,895$1,188$4,803$2,834$1,777
Creation of Eardrum Opening (69436)$6,045$3,567$2,237$7,481$4,414$2,768
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,894$2,298$1,441NRNRNR
Left Heart Artery/Ventricle Angiography (93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNRNRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$13,060$7,705$4,832$20,708$12,218$7,662
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$2,394$1,413$886NRNRNR
Esophageal Endoscopy with Dilation (43249)$4,932$2,910$1,825NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$6,858$4,046$2,537$9,959$5,876$3,685
Arthroscopic Rotator Cuff Repair (29827)$16,848$9,940$6,234$17,190$10,142$6,360
Hysteroscopy with Biopsy (58558)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)$10,934$6,451$4,046$11,039$6,513$4,085
Cystourethroscopy with Lithotripsy and Stent (52356)NRNRNRNRNRNR
Incision of Finger Tendon Sheath (26055)$5,821$3,434$2,154$5,944$3,507$2,199
Laparoscopic Hernia Repair - Initial (49650)$11,957$7,055$4,424$13,084$7,720$4,841
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)NRNRNRNRNRNR
Unlisted Cystourethoscopy (52000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire (43248)$4,253$2,509$1,573$4,524$2,669$1,674
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$5,931$3,499$2,194$14,035$8,281$5,193
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$8,727$5,149$3,229$9,789$5,776$3,622
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$17,574$10,369$6,502$26,075$15,384$9,648
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion (19081)$6,907$4,075$2,555NRNRNR
Cystourethroscopy with Stent (52332)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)NRNRNRNRNRNR
Mastectomy, Partial (19301)NRNRNR$13,939$8,224$5,157
Debridement Skin/Tissue (11042)$6,186$3,650$2,289NRNRNR
Laparoscopic Appendectomy (44970)$23,133$13,648$8,559$23,596$13,922$8,731
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$7,043$4,155$2,606$14,599$8,614$5,402
Laparoscopy, Removal of Tubes & Ovaries (58571)NRNRNRNRNRNR
Removal of Tonsils (42826)$8,556$5,048$3,166$17,037$10,052$6,304
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$22,219$13,109$8,221$20,936$12,352$7,746
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Repair of Nasal Septum (30520)NRNRNR$9,972$5,884$3,690
Fragmenting of Kidney Stone (50590)$7,793$4,598$2,884$12,598$7,433$4,661
Needle Biopsy of Liver (47000)$5,860$3,458$2,168NRNRNR
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$7,569$4,466$2,801
Correction of Bunion (28296)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)$12,120$7,151$4,484$15,199$8,968$5,624
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$5,627$3,320$2,082NRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,732$1,022$641NRNRNR
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.