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

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2015 - September 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$30,726$18,743$11,676
5540Cesarean DeliveryNRNRNR
6194Heart FailureNRNRNR
7301Hip Replacement$39,390$24,028$14,968
8139Pneumonia$7,549$4,605$2,869
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$5,734$3,498$2,179
12201Heart Abnormal Rhythm and Conduction Disorders$3,170$1,934$1,205
13140Chronic Obstructive Pulmonary Disease$7,007$4,274$2,663
14383Cellulitis and Other Bacterial Skin Infections$7,643$4,662$2,904
15045Stroke and Precerebral Occlusion with Infarct$12,940$7,893$4,917
16460Renal FailureNRNRNR
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract InfectionNRNRNR
19221Major Bowel ProceduresNRNRNR
20754DepressionNRNRNR
21174Angioplasty with Heart AttackNRNRNR
22750SchizophreniaNRNRNR
23420Diabetes$4,767$2,908$1,811
24247Intestinal Obstruction without Surgery$4,518$2,756$1,717
25282Disorders of Pancreas Except MalignancyNRNRNR
26812Poisoning of Medicinal Agents$3,826$2,334$1,454
27254Other Digestive System Diagnoses$7,600$4,636$2,888
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
32173Other Vascular ProceduresNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34053SeizureNRNRNR
35058Other Disorders of Nervous SystemNRNRNR
36308Hip/Thigh Surgery with Trauma Diagnosis$31,442$19,180$11,948
37263Laparoscopic Cholecystectomy$10,489$6,398$3,986
38134Pulmonary EmbolismNRNRNR
39315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
40175Angioplasty without Heart AttackNRNRNR
41249GastroenteritisNRNRNR
42244Diverticulitis & Diverticulosis$7,913$4,827$3,007
43861Signs & SymptomsNRNRNR
44347Other Back/Neck Disorders, Fractures, Injuries$13,886$8,470$5,277
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46313Other Knee/Lower Leg SurgeryNRNRNR
47862Other Factors Influencing Health StatusNRNRNR
48191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
49351Other Musculoskeletal System and Connective Tissue Diagnoses$2,476$1,510$941
50241Peptic Ulcer/GastritisNRNRNR
51425Other Electrolyte DisordersNRNRNR
52248Major G.I. Bacterial InfectionsNRNRNR
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,374$8,158$5,082
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55024Extracranial Vascular ProceduresNRNRNR
56950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58693ChemotherapyNRNRNR
59021Craniotomy Except For TraumaNRNRNR
60566Other Antepartum DiagnosesNRNRNR
61197Peripheral and Other Vascular DisordersNRNRNR
62220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
63422HypovolemiaNRNRNR
64225AppendectomyNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66321Upper Spinal FusionNRNRNR
67141Asthma$3,918$2,390$1,489
68755Neuroses Other Than DepressionNRNRNR
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
70055Head trauma w coma >1 hr or hemorrhage$1,354$826$515
71721Postoperative and Post-Traumatic InfectionsNRNRNR
72163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
73204Fainting and CollapseNRNRNR
74639Neonate Birthwt >2499g with Other Significant ConditionNRNRNR
75756Acute Adjust React Psychosocial Dysfunction$10,383$6,334$3,946

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 2015 - September 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)$10,066$6,141$3,825NRNRNR
Colonoscopy and Biopsy 45380)$4,456$2,718$1,693$5,622$3,429$2,136
Lesion Removal Colonoscopy by Snare Technique 45385)$4,433$2,704$1,685$4,925$3,004$1,871
Upper GI Endoscopy with Biopsy 43239)$5,028$3,067$1,911$5,888$3,591$2,237
Diagnostic Colonoscopy 45378)$2,983$1,820$1,134$4,454$2,717$1,693
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,612$1,593$993NRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$2,983$1,820$1,133NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,003$1,832$1,141NRNRNR
Carpal Tunnel Surgery 64721)NRNRNR$5,772$3,521$2,193
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$8,700$5,307$3,306$9,135$5,572$3,471
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$2,940$1,793$1,117$3,047$1,858$1,158
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,367$2,664$1,659$4,268$2,604$1,622
Creation of Eardrum Opening 69436)$5,748$3,506$2,184$6,286$3,835$2,389
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)$11,463$6,993$4,356$18,512$11,292$7,035
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$1,918$1,170$729$5,762$3,515$2,190
ABD Paracentesis w/Imaging 49083)$5,145$3,138$1,955$9,024$5,505$3,429
Removal of Tonsils And Adenoids - < Age 12 42820)$6,930$4,228$2,634$6,422$3,918$2,440
Cataract Surgery- Complex 66982)$10,603$6,468$4,029$10,620$6,478$4,036
Esophageal Endoscopy with Dilation 43249)$4,729$2,885$1,797$6,731$4,106$2,558
Arthroscopic Rotator Cuff Repair 29827)$15,690$9,571$5,962$17,244$10,519$6,553
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,794$4,754$2,962NRNRNR
Incision of Finger Tendon Sheath 26055)$5,598$3,415$2,127$5,553$3,387$2,110
Laparoscopic Hernia Repair - Initial 49650)$10,329$6,300$3,925$11,964$7,298$4,546
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,621$5,869$3,656$8,853$5,401$3,364
Uppr GI Endoscopy with Guide Wire 43248)$3,986$2,431$1,515$5,050$3,081$1,919
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)$8,376$5,109$3,183$9,687$5,909$3,681
Laparoscopic Appendectomy 44970)$23,181$14,140$8,809$17,089$10,424$6,494
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$6,310$3,849$2,398$10,423$6,358$3,961
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Removal of Tonsils 42826)$8,297$5,061$3,153NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$6,506$3,969$2,472$7,394$4,510$2,810
Mastectomy, Partial 19301)NRNRNR$13,189$8,045$5,012
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$20,455$12,477$7,773$21,860$13,335$8,307
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$10,021$6,113$3,808
Fragmenting of Kidney Stone 50590)$6,811$4,155$2,588$12,598$7,685$4,787
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,832$3,557$2,216NRNRNR
Aspirate Pleura with Imaging 32555)$2,365$1,442$899NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)$10,771$6,570$4,093$14,056$8,574$5,341
Apheresis Plasma 36514)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$8,248$5,031$3,134
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)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.