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

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2017 - June 2018
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/SepticemiaNRNRNR
4302Knee Replacement$36,495$20,802$13,138
5194Heart FailureNRNRNR
6540Cesarean DeliveryNRNRNR
7751PsychosesNRNRNR
8301Hip Replacement$42,426$24,183$15,274
9139Pneumonia$7,417$4,228$2,670
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$16,370$9,331$5,893
12201Heart Abnormal Rhythm and Conduction Disorders$6,420$3,659$2,311
13775Alcohol Abuse/Dependence$7,465$4,255$2,688
14133Respiratory failureNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$17,625$10,046$6,345
16469Acute Kidney InjuryNRNRNR
17383Cellulitis & other skin infections$6,335$3,611$2,281
18463Kidney/Urinary Tract Infection$10,014$5,708$3,605
19174Percutaneous coronary intervention w AMINRNRNR
20420Diabetes$9,155$5,219$3,296
21750SchizophreniaNRNRNR
22282Disorders of Pancreas Except Malignancy$10,102$5,758$3,637
23247Intestinal Obstruction without Surgery$5,952$3,392$2,143
24754Depression$4,833$2,755$1,740
25308Hip & femur fracture repair$26,303$14,993$9,469
26053SeizureNRNRNR
27175Percutaneous coronary intervention w/o AMINRNRNR
28254Other Digestive System Diagnoses$6,448$3,675$2,321
29190Circulatory Disorders with Heart AttackNRNRNR
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31137Respiratory Infections and Inflammations$33,622$19,165$12,104
32263Laparoscopic Cholecystectomy$16,830$9,593$6,059
33192Cardiac catheterization for other non-coronary conditionsNRNRNR
34058Other Disorders of Nervous SystemNRNRNR
35113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
36134Pulmonary Embolism$10,304$5,874$3,710
37244Diverticulitis & Diverticulosis$6,578$3,749$2,368
38773Opioid Abuse/DependenceNRNRNR
39249Other gastroenteritis, nausea & vomiting$3,262$1,859$1,174
40241Peptic Ulcer/GastritisNRNRNR
41710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
42466Malfunction, reaction, complic of genitourinary device or procNRNRNR
43231Major large bowel procedures$35,229$20,080$12,682
44812Poisoning of Medicinal Agents$4,445$2,534$1,600
45861Signs & Symptoms$9,523$5,428$3,428
46347Other Back/Neck Disorders, Fractures, Injuries$7,266$4,142$2,616
47253Other and Unspecified Gastrointestinal Hemorrhage$1,910$1,089$688
48313Other Knee/Lower Leg SurgeryNRNRNR
49024Extracranial Vascular ProceduresNRNRNR
50315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
51248Major G.I. Bacterial Infections$13,933$7,942$5,016
52351Other Musculoskeletal System and Connective Tissue Diagnoses$5,207$2,968$1,874
53181Lower Extremity Arterial ProceduresNRNRNR
54021Craniotomy Except For TraumaNRNRNR
55862Other Factors Influencing Health Status$6,747$3,846$2,429
56663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
57166Coronary bypass w/o AMI or complex PDXNRNRNR
58052Nontraumatic stupor & coma$9,199$5,243$3,312
59566Other Antepartum DiagnosesNRNRNR
60721Postoperative and Post-Traumatic InfectionsNRNRNR
61230Major small bowel procedures$40,026$22,815$14,409
62055Head trauma w coma >1 hr or hemorrhage$3,778$2,154$1,360
63321Upper Spinal FusionNRNRNR
64425Other Electrolyte DisordersNRNRNR
65197Peripheral and Other Vascular DisordersNRNRNR
66141Asthma$12,421$7,080$4,472
67951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
70199Hypertension$21,575$12,298$7,767
71426Non-hypovolemic sodium disordersNRNRNR
72171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
73696Other ChemotherapyNRNRNR
74207Other Circulatory System Diagnoses$14,857$8,469$5,349
75204Fainting and CollapseNRNRNR

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 2017 - June 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)$10,619$6,053$3,823$10,604$6,044$3,818
Colonoscopy and Biopsy 45380)$5,259$2,998$1,893$5,783$3,296$2,082
Lesion Removal Colonoscopy by Snare Technique 45385)$4,827$2,751$1,738$6,112$3,484$2,200
Upper GI Endoscopy with Biopsy 43239)$5,118$2,917$1,842$6,017$3,430$2,166
Diagnostic Colonoscopy 45378)$3,118$1,777$1,123NRNRNR
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)$1,294$738$466NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,746$995$629$2,758$1,572$993
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,096$1,765$1,114NRNRNR
Drain/Inject Major Joint or Bursa 20610)$9,354$5,332$3,367$10,010$5,706$3,604
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,073$1,752$1,106NRNRNR
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)$8,956$5,105$3,224$20,072$11,441$7,226
Uppr GI Endoscopy- Diagnostic 43235)$3,141$1,790$1,131$5,422$3,091$1,952
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,201$3,535$2,232$6,606$3,766$2,378
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,697$2,677$1,691$4,536$2,585$1,633
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,672$7,793$4,922$14,673$8,364$5,282
Esophageal Endoscopy with Dilation 43249)$4,987$2,843$1,795NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,868$10,755$6,793
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$6,906$3,936$2,486$8,372$4,772$3,014
Hysteroscopy with Biopsy 58558)$10,627$6,057$3,826NRNRNR
Cataract Surgery- Complex 66982)$10,949$6,241$3,942$10,968$6,252$3,948
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$3,445$1,964$1,240$7,634$4,351$2,748
Uppr GI Endoscopy with Guide Wire 43248)$4,230$2,411$1,523$5,459$3,112$1,965
Laparoscopic Hernia Repair - Initial 49650)$13,056$7,442$4,700NRNRNR
Incision of Finger Tendon Sheath 26055)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$16,050$9,148$5,778$12,518$7,135$4,506
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,001$4,561$2,880$10,724$6,112$3,860
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,276$7,567$4,779NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$7,719$4,400$2,779NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNR$10,908$6,218$3,927
Laparoscopic Appendectomy 44970)$23,013$13,117$8,285$23,332$13,299$8,399
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,246$5,270$3,328NRNRNR
Mastectomy, Partial 19301)$7,236$4,125$2,605$16,624$9,476$5,985
Total Knee Arthroscopy 27447)$25,373$14,462$9,134NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Removal of Tonsils 42826)$8,771$4,999$3,158$12,318$7,021$4,434
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,007$5,704$3,603NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$17,209$9,809$6,195NRNRNR
Repair of Nasal Septum 30520)$8,917$5,083$3,210$10,818$6,166$3,895
Fragmenting of Kidney Stone 50590)$7,976$4,546$2,871NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$10,222$5,826$3,680NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$7,859$4,480$2,829
Decompression of Ulnar Nerve at Elbow 64718)NRNRNR$9,456$5,390$3,404
Shoulder Arthroscopy/Surgery 29824)$15,143$8,631$5,451$14,992$8,546$5,397
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)$12,828$7,312$4,618$14,721$8,391$5,300
Repair of wrist joints 25447)$16,825$9,590$6,057NRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNR$6,056$3,452$2,180
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)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.