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

        Charges for 75 Most Common Hospitalizations in Wisconsin:   October 2016 - September 2017   (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$36,697$21,651$13,578
5194Heart Failure$17,892$10,556$6,620
6540Cesarean DeliveryNRNRNR
7301Hip Replacement$42,251$24,928$15,633
8751PsychosesNRNRNR
9140Chronic Obstructive Pulmonary Disease$7,644$4,510$2,828
10139Pneumonia$9,894$5,837$3,661
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$7,007$4,134$2,593
13201Heart Abnormal Rhythm and Conduction Disorders$6,998$4,129$2,589
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$4,752$2,804$1,758
16045Stroke and Precerebral Occlusion with InfarctNRNRNR
17469Acute Kidney InjuryNRNRNR
18463Kidney/Urinary Tract Infection$8,128$4,796$3,007
19221Major Bowel Procedures$33,503$19,767$12,396
20174Percutaneous coronary intervention w AMINRNRNR
21750SchizophreniaNRNRNR
22420Diabetes$23,187$13,680$8,579
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$7,771$4,585$2,875
25247Intestinal Obstruction without Surgery$7,851$4,632$2,905
26812Poisoning of Medicinal Agents$4,445$2,623$1,645
27254Other Digestive System Diagnoses$4,447$2,624$1,645
28308Hip & femur fracture repair$22,177$13,084$8,205
29710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
30190Circulatory Disorders with Heart AttackNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32053SeizureNRNRNR
33773Opioid Abuse/DependenceNRNRNR
34175Percutaneous coronary intervention w/o AMINRNRNR
35058Other Disorders of Nervous System$7,668$4,524$2,837
36249Other gastroenteritis, nausea & vomiting$6,880$4,059$2,546
37137Respiratory Infections and Inflammations$8,997$5,308$3,329
38134Pulmonary Embolism$9,137$5,391$3,381
39192Cardiac catheterization for other non-coronary conditionsNRNRNR
40263Laparoscopic Cholecystectomy$17,453$10,297$6,458
41244Diverticulitis & Diverticulosis$13,268$7,828$4,909
42861Signs & Symptoms$19,812$11,689$7,330
43241Peptic Ulcer/GastritisNRNRNR
44253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
45466Malfunction, reaction, complic of genitourinary device or procNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$8,438$4,978$3,122
47313Other Knee/Lower Leg SurgeryNRNRNR
48425Other Electrolyte DisordersNRNRNR
49181Lower Extremity Arterial ProceduresNRNRNR
50951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
51248Major G.I. Bacterial Infections$12,711$7,499$4,703
52024Extracranial Vascular ProceduresNRNRNR
53351Other Musculoskeletal System and Connective Tissue Diagnoses$7,405$4,369$2,740
54315Shoulder, upper arm & forearm procedures except joint replacement$22,933$13,530$8,485
55021Craniotomy Except For TraumaNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$8,901$5,252$3,293
57663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
58166Coronary bypass w/o AMI or complex PDXNRNRNR
59321Upper Spinal FusionNRNRNR
60862Other Factors Influencing Health StatusNRNRNR
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62197Peripheral and Other Vascular DisordersNRNRNR
63566Other Antepartum DiagnosesNRNRNR
64422HypovolemiaNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66141Asthma$6,350$3,747$2,350
67755Neuroses Other Than DepressionNRNRNR
68721Postoperative and Post-Traumatic InfectionsNRNRNR
69225AppendectomyNRNRNR
70143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
71144Respiratory System Signs, Symptoms and Minor Diagnoses$10,260$6,053$3,796
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73204Fainting and CollapseNRNRNR
74199HypertensionNRNRNR
75696Other ChemotherapyNRNRNR

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 2016 - September 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)$10,506$6,199$3,887$10,818$6,383$4,003
Colonoscopy and Biopsy (45380)$5,017$2,960$1,856$5,689$3,357$2,105
Lesion Removal Colonoscopy by Snare Technique (45385)$5,019$2,961$1,857$5,738$3,385$2,123
Upper GI Endoscopy with Biopsy (43239)$4,881$2,880$1,806$6,047$3,568$2,237
Diagnostic Colonoscopy (45378)$3,120$1,841$1,154$5,090$3,003$1,883
Injection into Lumbar or Sacral Area, Single Level (64483)$2,912$1,718$1,078NRNRNR
Drain/Inject Major Joint or Bursa (20610)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$2,200$1,298$814NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,118$1,840$1,154NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)$1,236$729$457NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,108$1,834$1,150NRNRNR
Carpal Tunnel Surgery (64721)$5,729$3,380$2,120$6,038$3,562$2,234
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$8,989$5,303$3,326$9,581$5,653$3,545
Uppr GI Endoscopy- Diagnostic (43235)$3,212$1,895$1,188$4,985$2,941$1,845
Creation of Eardrum Opening (69436)$6,088$3,592$2,253$7,481$4,414$2,768
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,103$3,011$1,888NRNRNR
Left Heart Artery/Ventricle Angiography (93458)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)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
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$13,405$7,909$4,960$20,708$12,218$7,662
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)$2,556$1,508$946NRNRNR
Esophageal Endoscopy with Dilation (43249)$5,023$2,964$1,859NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$7,719$4,554$2,856NRNRNR
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)NRNRNR$17,100$10,089$6,327
Cataract Surgery- Complex (66982)$10,892$6,426$4,030$11,117$6,559$4,113
Hysteroscopy with Biopsy (58558)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent (52356)NRNRNRNRNRNR
Incision of Finger Tendon Sheath (26055)NRNRNR$5,944$3,507$2,199
Laparoscopic Hernia Repair - Initial (49650)$12,750$7,523$4,718$14,359$8,472$5,313
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)NRNRNR$10,724$6,327$3,968
Unlisted Cystourethoscopy (52000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire (43248)$4,323$2,551$1,600$5,370$3,168$1,987
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$6,035$3,561$2,233$14,035$8,281$5,193
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)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)$15,613$9,211$5,777$26,075$15,384$9,648
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)$7,236$4,269$2,677$14,519$8,566$5,372
Debridement Skin/Tissue (11042)$6,186$3,650$2,289NRNRNR
Laparoscopic Appendectomy (44970)$23,083$13,619$8,541$23,332$13,766$8,633
Laparoscopy, Removal of Tubes & Ovaries (58571)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$7,043$4,155$2,606$14,599$8,614$5,402
Removal of Tonsils (42826)$8,556$5,048$3,166$16,317$9,627$6,037
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$20,956$12,364$7,754NRNRNR
Repair of Nasal Septum (30520)NRNRNR$10,328$6,093$3,821
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)$7,885$4,652$2,917NRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)$5,860$3,458$2,168NRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$7,569$4,466$2,801
Hysteroscopy with Ablation (58563)NRNRNRNRNRNR
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)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
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)$1,732$1,022$641NRNRNR
Correction of Bunion (28296)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)$12,141$7,163$4,492$15,866$9,361$5,870
Angioplasty - peripheral segment of the dialysis circuit (36902)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.