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

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$9,488$5,788$3,605
4302Knee Replacement$34,831$21,247$13,236
5540Cesarean DeliveryNRNRNR
6194Heart FailureNRNRNR
7301Hip Replacement$40,936$24,971$15,556
8751PsychosesNRNRNR
9139Pneumonia$7,549$4,605$2,869
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$5,424$3,309$2,061
12140Chronic Obstructive Pulmonary Disease$7,152$4,363$2,718
13201Heart Abnormal Rhythm and Conduction Disorders$4,493$2,741$1,707
14045Stroke and Precerebral Occlusion with Infarct$12,940$7,893$4,917
15383Cellulitis & other skin infections$6,422$3,917$2,440
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$8,452$5,156$3,212
18221Major Bowel Procedures$34,933$21,309$13,275
19174Percutaneous coronary intervention w AMINRNRNR
20754DepressionNRNRNR
21460Renal FailureNRNRNR
22750SchizophreniaNRNRNR
23420DiabetesNRNRNR
24282Disorders of Pancreas Except Malignancy$7,771$4,740$2,953
25247Intestinal Obstruction without Surgery$8,126$4,957$3,088
26812Poisoning of Medicinal Agents$3,826$2,334$1,454
27254Other Digestive System DiagnosesNRNRNR
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
30190Circulatory Disorders with Heart AttackNRNRNR
31773Opioid Abuse/DependenceNRNRNR
32053SeizureNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous SystemNRNRNR
35308Hip & femur fracture repair$31,442$19,180$11,948
36175Percutaneous coronary intervention w/o AMINRNRNR
37263Laparoscopic Cholecystectomy$13,238$8,075$5,030
38134Pulmonary Embolism$10,980$6,698$4,172
39249Other gastroenteritis, nausea & vomiting$5,239$3,196$1,991
40244Diverticulitis & Diverticulosis$12,122$7,394$4,606
41315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
42861Signs & Symptoms$10,435$6,365$3,965
43347Other Back/Neck Disorders, Fractures, Injuries$8,677$5,293$3,297
44173Other Vascular ProceduresNRNRNR
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46313Other Knee/Lower Leg SurgeryNRNRNR
47351Other Musculoskeletal System and Connective Tissue Diagnoses$2,476$1,510$941
48241Peptic Ulcer/GastritisNRNRNR
49425Other Electrolyte DisordersNRNRNR
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health StatusNRNRNR
52248Major G.I. Bacterial InfectionsNRNRNR
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,374$8,158$5,082
54024Extracranial Vascular ProceduresNRNRNR
55192Cardiac catheterization for other non-coronary conditionsNRNRNR
56191Cardiac catheterization for coronary artery diseaseNRNRNR
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59566Other Antepartum DiagnosesNRNRNR
60197Peripheral and Other Vascular DisordersNRNRNR
61321Upper Spinal FusionNRNRNR
62422HypovolemiaNRNRNR
63052Nontraumatic stupor & comaNRNRNR
64225AppendectomyNRNRNR
65950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
66220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
67055Head trauma w coma >1 hr or hemorrhage$1,354$826$515
68141AsthmaNRNRNR
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than DepressionNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
72143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
73166Coronary bypass w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75144Respiratory System Signs, Symptoms and Minor Diagnoses$22,020$13,432$8,368

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:  January 2016 - December 2016
 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)$10,099$6,160$3,837$10,686$6,518$4,061
Colonoscopy and Biopsy 45380)$4,533$2,765$1,723$5,342$3,258$2,030
Lesion Removal Colonoscopy by Snare Technique 45385)$4,548$2,774$1,728$5,088$3,103$1,933
Upper GI Endoscopy with Biopsy 43239)$5,028$3,067$1,911$5,920$3,611$2,250
Diagnostic Colonoscopy 45378)$3,008$1,835$1,143$4,728$2,884$1,797
Injection into Lumbar or Sacral Area, Single Level 64483)$2,902$1,770$1,103NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,544$1,552$967NRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,983$1,820$1,134NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,071$1,873$1,167NRNRNR
Carpal Tunnel Surgery 64721)NRNRNR$5,915$3,608$2,248
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,712$5,315$3,311$9,444$5,761$3,589
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,084$1,881$1,172$4,381$2,673$1,665
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,367$2,664$1,659NRNRNR
Creation of Eardrum Opening 69436)$5,748$3,506$2,184$6,737$4,109$2,560
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$7,601$4,735$20,751$12,658$7,885
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$2,394$1,461$910$5,762$3,515$2,190
ABD Paracentesis w/Imaging 49083)$8,497$5,183$3,229$9,024$5,505$3,429
Removal of Tonsils And Adenoids - < Age 12 42820)$6,715$4,096$2,552$6,422$3,918$2,440
Esophageal Endoscopy with Dilation 43249)$4,718$2,878$1,793$6,731$4,106$2,558
Arthroscopic Rotator Cuff Repair 29827)$15,690$9,571$5,962$17,244$10,519$6,553
Cataract Surgery- Complex 66982)$10,603$6,468$4,029$10,580$6,454$4,021
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,719$4,708$2,933NRNRNR
Incision of Finger Tendon Sheath 26055)$5,821$3,551$2,212NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$11,403$6,956$4,333$11,964$7,298$4,546
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,024$2,454$1,529$4,787$2,920$1,819
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,621$5,869$3,656$7,950$4,849$3,021
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$8,840$5,392$3,359$9,703$5,919$3,687
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$23,133$14,111$8,790$21,497$13,113$8,169
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$6,310$3,849$2,398$10,423$6,358$3,961
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$7,169$4,373$2,724NRNRNR
Mastectomy, Partial 19301)NRNRNR$11,146$6,799$4,235
Removal of Tonsils 42826)$8,535$5,206$3,243NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$21,968$13,401$8,348$20,936$12,771$7,956
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$10,519$6,416$3,997
Fragmenting of Kidney Stone 50590)$6,811$4,155$2,588$12,598$7,685$4,787
Needle Biopsy of Liver 47000)$5,860$3,575$2,227NRNRNR
Aspirate Pleura with Imaging 32555)$2,365$1,442$899NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$5,906$3,602$2,244NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)$12,162$7,419$4,622$14,092$8,596$5,355
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$5,023$3,064$1,909NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)$14,605$8,909$5,550NRNRNR
Ablation therapy of first vein of extremity 36475)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.