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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   April 2017 - March 2018   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$12,534$7,395$4,638
4302Knee Replacement$36,753$21,684$13,599
5194Heart Failure$17,892$10,557$6,620
6540Cesarean DeliveryNRNRNR
7751PsychosesNRNRNR
8301Hip Replacement$42,568$25,115$15,750
9139Pneumonia$9,643$5,690$3,568
10140Chronic Obstructive Pulmonary Disease$8,208$4,842$3,037
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$6,420$3,788$2,375
13775Alcohol Abuse/Dependence$7,169$4,230$2,653
14133Respiratory failureNRNRNR
15045Stroke and Precerebral Occlusion with InfarctNRNRNR
16469Acute Kidney InjuryNRNRNR
17383Cellulitis & other skin infections$6,796$4,010$2,515
18463Kidney/Urinary Tract Infection$10,652$6,285$3,941
19174Percutaneous coronary intervention w AMINRNRNR
20420Diabetes$10,169$6,000$3,763
21750SchizophreniaNRNRNR
22282Disorders of Pancreas Except Malignancy$10,427$6,152$3,858
23754Depression$4,833$2,851$1,788
24247Intestinal Obstruction without Surgery$5,629$3,321$2,083
25308Hip & femur fracture repair$22,177$13,085$8,206
26053SeizureNRNRNR
27254Other Digestive System Diagnoses$9,193$5,424$3,402
28175Percutaneous coronary intervention w/o AMINRNRNR
29190Circulatory Disorders with Heart AttackNRNRNR
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31137Respiratory Infections and Inflammations$8,997$5,308$3,329
32058Other Disorders of Nervous System$4,944$2,917$1,829
33192Cardiac catheterization for other non-coronary conditionsNRNRNR
34263Laparoscopic Cholecystectomy$20,138$11,881$7,451
35773Opioid Abuse/DependenceNRNRNR
36134Pulmonary Embolism$7,294$4,304$2,699
37710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
38244Diverticulitis & Diverticulosis$12,400$7,316$4,588
39113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
40249Other gastroenteritis, nausea & vomiting$3,289$1,940$1,217
41812Poisoning of Medicinal Agents$4,445$2,622$1,645
42241Peptic Ulcer/GastritisNRNRNR
43221Major Bowel Procedures$33,273$19,631$12,311
44466Malfunction, reaction, complic of genitourinary device or procNRNRNR
45861Signs & Symptoms$20,586$12,145$7,617
46253Other and Unspecified Gastrointestinal Hemorrhage$1,910$1,127$707
47347Other Back/Neck Disorders, Fractures, Injuries$7,733$4,562$2,861
48313Other Knee/Lower Leg SurgeryNRNRNR
49024Extracranial Vascular ProceduresNRNRNR
50351Other Musculoskeletal System and Connective Tissue Diagnoses$7,405$4,369$2,740
51181Lower Extremity Arterial ProceduresNRNRNR
52248Major G.I. Bacterial Infections$16,308$9,622$6,034
53315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
54021Craniotomy Except For TraumaNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
56862Other Factors Influencing Health Status$18,006$10,623$6,662
57425Other Electrolyte DisordersNRNRNR
58166Coronary bypass w/o AMI or complex PDXNRNRNR
59951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
60231Major large bowel procedures$35,229$20,785$13,035
61052Nontraumatic stupor & comaNRNRNR
62566Other Antepartum DiagnosesNRNRNR
63321Upper Spinal FusionNRNRNR
64055Head trauma w coma >1 hr or hemorrhage$3,778$2,229$1,398
65197Peripheral and Other Vascular DisordersNRNRNR
66721Postoperative and Post-Traumatic InfectionsNRNRNR
67141Asthma$8,901$5,252$3,293
68755Neuroses Other Than DepressionNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
70199Hypertension$21,575$12,729$7,983
71422HypovolemiaNRNRNR
72696Other ChemotherapyNRNRNR
73171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
74204Fainting and CollapseNRNRNR
75207Other Circulatory System Diagnoses$14,857$8,766$5,497

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:  April 2017 - March 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)$10,565$6,234$3,909$10,818$6,383$4,003
Colonoscopy and Biopsy 45380)$5,250$3,097$1,942$5,738$3,386$2,123
Lesion Removal Colonoscopy by Snare Technique 45385)$4,889$2,885$1,809$5,936$3,502$2,196
Upper GI Endoscopy with Biopsy 43239)$5,041$2,974$1,865$6,297$3,715$2,330
Diagnostic Colonoscopy 45378)$3,118$1,840$1,154NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)$2,881$1,700$1,066NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,279$755$473NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,754$1,035$649$2,758$1,627$1,021
Drain/Inject Major Joint or Bursa 20610)$9,354$5,519$3,461NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,096$1,826$1,145NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,075$1,814$1,138NRNRNR
Carpal Tunnel Surgery 64721)$5,729$3,380$2,120$5,912$3,488$2,188
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,982$5,299$3,323$8,286$4,889$3,066
Uppr GI Endoscopy- Diagnostic 43235)$3,170$1,871$1,173$5,057$2,984$1,871
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,242$3,683$2,309$7,044$4,156$2,606
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,697$2,771$1,738NRNRNR
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
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,683$8,073$5,063$16,972$10,013$6,280
Esophageal Endoscopy with Dilation 43249)$4,987$2,943$1,845NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,216$4,258$2,670NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$17,010$10,036$6,294
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,233$1,907$1,196$7,634$4,504$2,825
Cataract Surgery- Complex 66982)$10,913$6,439$4,038$11,117$6,559$4,113
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$12,972$7,654$4,800NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$7,719$4,554$2,856NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,230$2,496$1,565$5,459$3,221$2,020
Incision of Finger Tendon Sheath 26055)NRNRNR$5,944$3,507$2,199
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,001$4,721$2,960$10,724$6,327$3,968
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,513$5,023$3,150$12,518$7,386$4,632
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$15,613$9,211$5,777NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,975$5,295$3,321NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Mastectomy, Partial 19301)$7,236$4,269$2,677$19,679$11,610$7,281
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$23,024$13,584$8,519$23,332$13,766$8,633
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$6,653$3,925$2,462NRNRNR
Removal of Tonsils 42826)$7,894$4,658$2,921$15,037$8,872$5,564
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,043$4,155$2,606NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$20,269$11,958$7,499NRNRNR
Repair of Nasal Septum 30520)NRNRNR$10,445$6,163$3,865
Fragmenting of Kidney Stone 50590)$7,885$4,652$2,917NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)$25,373$14,970$9,388NRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$7,859$4,637$2,908
Hysteroscopy with Ablation 58563)$11,894$7,018$4,401NRNRNR
Needle Biopsy of Liver 47000)NRNRNR$6,056$3,573$2,241
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)$14,921$8,803$5,521$15,866$9,361$5,870
Exam of ear with microscope 92504)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNR$9,456$5,579$3,499
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance 20611)$1,732$1,022$641NRNRNR
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
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.