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

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$10,231$6,036$3,785
4302Knee Replacement$35,986$21,232$13,315
5540Cesarean DeliveryNRNRNR
6194Heart FailureNRNRNR
7301Hip Replacement$41,552$24,516$15,374
8751PsychosesNRNRNR
9139Pneumonia$9,114$5,377$3,372
10140Chronic Obstructive Pulmonary Disease$10,753$6,344$3,979
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$5,480$3,233$2,028
13201Heart Abnormal Rhythm and Conduction Disorders$6,448$3,804$2,386
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$7,477$4,411$2,766
18221Major Bowel Procedures$35,833$21,141$13,258
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21754DepressionNRNRNR
22420Diabetes$28,836$17,013$10,669
23282Disorders of Pancreas Except Malignancy$6,676$3,939$2,470
24247Intestinal Obstruction without Surgery$8,401$4,957$3,108
25254Other Digestive System Diagnoses$4,447$2,624$1,645
26812Poisoning of Medicinal Agents$3,826$2,257$1,416
27710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
28773Opioid Abuse/DependenceNRNRNR
29308Hip & femur fracture repair$31,442$18,551$11,634
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31190Circulatory Disorders with Heart AttackNRNRNR
32053SeizureNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous System$10,391$6,131$3,845
35175Percutaneous coronary intervention w/o AMINRNRNR
36249Other gastroenteritis, nausea & vomiting$7,227$4,264$2,674
37460Renal FailureNRNRNR
38134Pulmonary Embolism$10,980$6,478$4,063
39263Laparoscopic Cholecystectomy$16,720$9,865$6,186
40244Diverticulitis & Diverticulosis$14,155$8,351$5,237
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$8,544$5,041$3,161
43347Other Back/Neck Disorders, Fractures, Injuries$8,677$5,119$3,210
44315Shoulder, upper arm & forearm procedures except joint replacement$22,933$13,530$8,485
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46241Peptic Ulcer/GastritisNRNRNR
47313Other Knee/Lower Leg SurgeryNRNRNR
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditionsNRNRNR
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51425Other Electrolyte DisordersNRNRNR
52248Major G.I. Bacterial Infections$9,113$5,377$3,372
53951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
54663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular ProceduresNRNRNR
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and Laryngotracheitis$8,901$5,252$3,293
59321Upper Spinal FusionNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular DisordersNRNRNR
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhageNRNRNR
64173Other Vascular ProceduresNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66225AppendectomyNRNRNR
67141AsthmaNRNRNR
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than DepressionNRNRNR
71191Cardiac catheterization for coronary artery diseaseNRNRNR
72220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
73143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR

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 2016 - March 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)$10,198$6,017$3,773$10,686$6,305$3,954
Colonoscopy and Biopsy 45380)$4,646$2,741$1,719$5,342$3,152$1,976
Lesion Removal Colonoscopy by Snare Technique 45385)$4,676$2,759$1,730$5,212$3,075$1,928
Upper GI Endoscopy with Biopsy 43239)$4,932$2,910$1,825$5,925$3,496$2,192
Diagnostic Colonoscopy 45378)$3,054$1,802$1,130$4,993$2,946$1,847
Injection into Lumbar or Sacral Area, Single Level 64483)$2,902$1,712$1,074NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,573$1,518$952NRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,031$1,788$1,121NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,101$1,829$1,147NRNRNR
Carpal Tunnel Surgery 64721)NRNRNR$6,038$3,562$2,234
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,717$5,143$3,225$9,555$5,638$3,535
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,212$1,895$1,188$4,999$2,949$1,850
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,090$2,413$1,513NRNRNR
Creation of Eardrum Opening 69436)$5,574$3,288$2,062$6,948$4,099$2,571
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)$12,461$7,352$4,611$22,147$13,067$8,194
ABD Paracentesis w/Imaging 49083)NRNRNR$9,024$5,324$3,339
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,193$704$441NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,064$1,218$764$5,762$3,400$2,132
Esophageal Endoscopy with Dilation 43249)$4,740$2,797$1,754$6,731$3,971$2,490
Arthroscopic Rotator Cuff Repair 29827)$16,848$9,940$6,234$17,244$10,174$6,380
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$6,500$3,835$2,405$8,191$4,832$3,031
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$10,888$6,424$4,029$10,779$6,360$3,988
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$5,821$3,434$2,154NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,644$4,510$2,828NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$11,919$7,032$4,410$12,864$7,590$4,760
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,324$2,551$1,600$4,787$2,825$1,771
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,414$6,144$3,853$14,035$8,281$5,193
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)NRNRNR$26,075$15,384$9,648
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,262$5,464$3,427$9,703$5,725$3,590
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$6,907$4,075$2,555NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Mastectomy, Partial 19301)NRNRNR$13,939$8,224$5,157
Laparoscopic Appendectomy 44970)$23,131$13,647$8,559$24,247$14,306$8,972
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$6,384$3,767$2,362$14,599$8,614$5,402
Removal of Tonsils 42826)$8,556$5,048$3,166$16,317$9,627$6,037
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$21,968$12,961$8,128$20,936$12,352$7,746
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$10,021$5,912$3,708
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,860$3,458$2,168NRNRNR
Debridement Skin/Tissue 11042)$6,062$3,577$2,243NRNRNR
Fragmenting of Kidney Stone 50590)$6,811$4,019$2,520$12,598$7,433$4,661
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$2,365$1,395$875NRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)$12,141$7,163$4,492$14,645$8,641$5,419
Removal of Adenoids 42830)NRNRNR$7,569$4,466$2,801
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$5,627$3,320$2,082NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$14,605$8,617$5,404NRNRNR
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.