Watertown Regional Medical Center
125 Hospital Drive
Watertown, WI 53098
920-261-4210
 
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WI Act 146 Top 75 Reports

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+$4,084$2,614$939
2560Vaginal Delivery$14,014$8,969$3,223
3720Blood Infection/Septicemia$14,340$9,177$3,298
4302Knee Replacement$51,534$32,982$11,853
5194Heart Failure$10,768$6,891$2,477
6540Cesarean Delivery$25,223$16,143$5,801
7751PsychosesNRNRNR
8301Hip Replacement$55,162$35,304$12,687
9139Pneumonia$10,614$6,793$2,441
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$14,428$9,234$3,318
12201Heart Abnormal Rhythm and Conduction Disorders$17,075$10,928$3,927
13775Alcohol Abuse/Dependence$14,606$9,348$3,359
14133Respiratory failureNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$18,413$11,784$4,235
16469Acute Kidney Injury$8,624$5,519$1,984
17383Cellulitis & other skin infections$11,336$7,255$2,607
18463Kidney/Urinary Tract Infection$11,570$7,405$2,661
19174Percutaneous coronary intervention w AMI$54,057$34,596$12,433
20420Diabetes$12,460$7,974$2,866
21750SchizophreniaNRNRNR
22282Disorders of Pancreas Except Malignancy$16,656$10,660$3,831
23247Intestinal Obstruction without Surgery$16,158$10,341$3,716
24754DepressionNRNRNR
25308Hip & femur fracture repair$33,538$21,464$7,714
26053SeizureNRNRNR
27175Percutaneous coronary intervention w/o AMI$72,517$46,411$16,679
28254Other Digestive System DiagnosesNRNRNR
29190Circulatory Disorders with Heart Attack$20,241$12,954$4,655
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$80,724$51,663$18,566
31137Respiratory Infections and Inflammations$14,406$9,220$3,313
32263Laparoscopic Cholecystectomy$39,998$25,599$9,199
33192Cardiac catheterization for other non-coronary conditions$55,117$35,275$12,677
34058Other Disorders of Nervous System$16,416$10,506$3,776
35113Epiglottitis, Ear Infection, URI and Laryngotracheitis$15,929$10,195$3,664
36134Pulmonary Embolism$12,183$7,797$2,802
37244Diverticulitis & Diverticulosis$14,914$9,545$3,430
38773Opioid Abuse/DependenceNRNRNR
39249Other gastroenteritis, nausea & vomiting$17,246$11,037$3,967
40241Peptic Ulcer/Gastritis$16,965$10,858$3,902
41710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
42466Malfunction, reaction, complic of genitourinary device or procNRNRNR
43231Major large bowel procedures$36,192$23,163$8,324
44812Poisoning of Medicinal Agents$11,095$7,101$2,552
45861Signs & SymptomsNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$16,971$10,861$3,903
47253Other and Unspecified Gastrointestinal Hemorrhage$17,637$11,288$4,056
48313Other Knee/Lower Leg Surgery$28,418$18,188$6,536
49024Extracranial Vascular ProceduresNRNRNR
50315Shoulder, upper arm & forearm procedures except joint replacement$44,661$28,583$10,272
51248Major G.I. Bacterial InfectionsNRNRNR
52351Other Musculoskeletal System and Connective Tissue Diagnoses$23,078$14,770$5,308
53181Lower Extremity Arterial ProceduresNRNRNR
54021Craniotomy Except For TraumaNRNRNR
55862Other Factors Influencing Health Status$10,785$6,903$2,481
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$17,321$11,085$3,984
57166Coronary bypass w/o AMI or complex PDXNRNRNR
58052Nontraumatic stupor & comaNRNRNR
59566Other Antepartum Diagnoses$4,006$2,564$921
60721Postoperative and Post-Traumatic Infections$27,760$17,767$6,385
61230Major small bowel proceduresNRNRNR
62055Head trauma w coma >1 hr or hemorrhage$14,488$9,272$3,332
63321Upper Spinal FusionNRNRNR
64425Other Electrolyte DisordersNRNRNR
65197Peripheral and Other Vascular DisordersNRNRNR
66141Asthma$18,029$11,539$4,147
67951Moderately Extensive Procedure Unrelated to Diagnosis$35,043$22,428$8,060
68755Neuroses Other Than DepressionNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,169$5,228$1,879
70199Hypertension$11,765$7,530$2,706
71426Non-hypovolemic sodium disorders$15,174$9,711$3,490
72171Pacemaker Implant without Heart Attack, Heart Failure or Shock$51,855$33,187$11,927
73696Other ChemotherapyNRNRNR
74207Other Circulatory System DiagnosesNRNRNR
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)$10,272$6,574$2,363$12,747$8,158$2,932
Colonoscopy and Biopsy 45380)$6,438$4,120$1,481$7,334$4,694$1,687
Lesion Removal Colonoscopy by Snare Technique 45385)$6,724$4,304$1,547$7,224$4,623$1,662
Upper GI Endoscopy with Biopsy 43239)$5,476$3,505$1,260$7,230$4,627$1,663
Diagnostic Colonoscopy 45378)$5,771$3,694$1,327$7,103$4,546$1,634
Injection into Lumbar or Sacral Area, Single Level 64483)$3,937$2,520$905$4,001$2,561$920
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,817$2,443$878$4,417$2,827$1,016
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,529$1,619$582$3,748$2,399$862
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,926$3,793$1,363NRNRNR
Drain/Inject Major Joint or Bursa 20610)$1,384$886$318$1,951$1,249$449
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,388$3,449$1,239NRNRNR
Carpal Tunnel Surgery 64721)$6,934$4,438$1,595$9,233$5,909$2,124
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,227$7,185$2,582
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,933$9,557$3,435$30,081$19,252$6,919
Uppr GI Endoscopy- Diagnostic 43235)$4,853$3,106$1,116$6,359$4,070$1,463
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,757$2,404$864NRNRNR
Creation of Eardrum Opening 69436)$5,976$3,825$1,375NRNRNR
Left Heart Artery/Ventricle Angiography 93458)$23,666$15,146$5,443$36,768$23,532$8,457
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,874$5,040$1,811NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,025$1,296$466$4,185$2,678$963
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$24,316$15,562$5,593NRNRNR
Esophageal Endoscopy with Dilation 43249)$5,898$3,775$1,357$8,388$5,368$1,929
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$40,556$25,956$9,328
ABD Paracentesis w/Imaging 49083)$3,124$1,999$718NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$9,374$6,000$2,156$12,932$8,277$2,974
Hysteroscopy with Biopsy 58558)$10,443$6,683$2,402$14,537$9,304$3,344
Cataract Surgery- Complex 66982)$11,841$7,578$2,723NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$15,701$10,049$3,611NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$6,143$3,932$1,413$9,556$6,116$2,198
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$21,616$13,834$4,972$21,557$13,796$4,958
Incision of Finger Tendon Sheath 26055)$4,834$3,094$1,112$7,255$4,644$1,669
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,627$7,441$2,674$16,598$10,623$3,817
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$17,803$11,394$4,095$18,379$11,762$4,227
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$5,939$3,801$1,366
Unlisted Cystourethoscopy 52000)$3,409$2,182$784NRNRNR
Cystourethroscopy with Stent 52332)$15,015$9,610$3,454$14,322$9,166$3,294
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$26,667$17,067$6,133$28,370$18,157$6,525
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$18,484$11,830$4,251$29,320$18,765$6,744
Laparoscopic Appendectomy 44970)$31,205$19,971$7,177$33,510$21,446$7,707
Laparoscopy, Removal of Tubes & Ovaries 58571)$29,291$18,746$6,737$32,860$21,031$7,558
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,660$9,382$3,372NRNRNR
Mastectomy, Partial 19301)$9,816$6,282$2,258$22,818$14,603$5,248
Total Knee Arthroscopy 27447)$45,106$28,868$10,374$46,640$29,849$10,727
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,847$3,742$1,345$5,667$3,627$1,304
Removal of Tonsils 42826)$10,446$6,685$2,402NRNRNR
Low Back Disk Surgery 63030)NRNRNR$24,396$15,613$5,611
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,615$7,434$2,671$16,775$10,736$3,858
Coronary Artery Angio S&I 93454)$15,592$9,979$3,586$22,530$14,419$5,182
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$37,017$23,691$8,514
Repair of Nasal Septum 30520)NRNRNR$19,966$12,778$4,592
Fragmenting of Kidney Stone 50590)$22,528$14,418$5,182$23,502$15,041$5,405
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$6,633$4,245$1,526$8,162$5,224$1,877
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$12,473$7,982$2,869$19,745$12,637$4,541
Right and Left Heart Artery/Ventricle Angiography 93460)$26,742$17,115$6,151$28,527$18,257$6,561
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$714$457$164NRNRNR
Removal of Adenoids 42830)NRNRNR$8,849$5,663$2,035
Decompression of Ulnar Nerve at Elbow 64718)$14,938$9,560$3,436$15,906$10,180$3,658
Shoulder Arthroscopy/Surgery 29824)NRNRNR$32,387$20,728$7,449
Implant Neuroelectrodes 63650)$20,727$13,265$4,767$37,386$23,927$8,599
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,601$6,145$2,208NRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$31,336$20,055$7,207
Repair of wrist joints 25447)$22,698$14,527$5,221$25,143$16,091$5,783
Aspirate Pleura with Imaging 32555)$2,999$1,919$690$3,054$1,955$703
Needle Biopsy of Liver 47000)$6,184$3,958$1,422NRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$9,920$6,349$2,282$7,372$4,718$1,696
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Information about quality and safety of care for Watertown Regional Medical Center may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.