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:  October 2017 - September 2018
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,078$2,610$938
2560Vaginal Delivery$14,215$9,097$3,269
3720Blood Infection/Septicemia$13,081$8,372$3,009
4194Heart Failure$10,355$6,627$2,382
5302Knee Replacement$51,118$32,715$11,757
6540Cesarean Delivery$25,463$16,296$5,856
7751PsychosesNRNRNR
8301Hip Replacement$55,083$35,253$12,669
9139Pneumonia$10,614$6,793$2,441
10753Bipolar DisordersNRNRNR
11201Heart Abnormal Rhythm and Conduction Disorders$17,122$10,958$3,938
12775Alcohol Abuse/Dependence$14,606$9,348$3,359
13140Chronic Obstructive Pulmonary Disease$14,138$9,048$3,252
14133Respiratory failureNRNRNR
15469Acute Kidney Injury$10,209$6,534$2,348
16045Stroke and Precerebral Occlusion with Infarct$17,976$11,504$4,134
17383Cellulitis & other skin infections$11,105$7,107$2,554
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$22,021$14,093$5,065
23247Intestinal Obstruction without Surgery$19,384$12,406$4,458
24754DepressionNRNRNR
25308Hip & femur fracture repair$35,507$22,724$8,167
26053SeizureNRNRNR
27175Percutaneous coronary intervention w/o AMI$72,517$46,411$16,679
28231Major large bowel procedures$38,540$24,666$8,864
29254Other Digestive System Diagnoses$21,329$13,651$4,906
30137Respiratory Infections and Inflammations$14,406$9,220$3,313
31190Circulatory Disorders with Heart Attack$26,942$17,243$6,197
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$77,499$49,600$17,825
33263Laparoscopic Cholecystectomy$43,844$28,060$10,084
34058Other Disorders of Nervous System$16,416$10,506$3,776
35192Cardiac catheterization for other non-coronary conditions$55,117$35,275$12,677
36113Epiglottitis, Ear Infection, URI and Laryngotracheitis$15,929$10,195$3,664
37244Diverticulitis & Diverticulosis$17,709$11,334$4,073
38134Pulmonary Embolism$13,239$8,473$3,045
39249Other gastroenteritis, nausea & vomiting$16,910$10,823$3,889
40773Opioid Abuse/DependenceNRNRNR
41466Malfunction, reaction, complic of genitourinary device or procNRNRNR
42241Peptic Ulcer/Gastritis$16,965$10,858$3,902
43710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
44861Signs & Symptoms$5,094$3,260$1,172
45347Other Back/Neck Disorders, Fractures, Injuries$21,684$13,878$4,987
46230Major small bowel proceduresNRNRNR
47253Other and Unspecified Gastrointestinal Hemorrhage$17,922$11,470$4,122
48315Shoulder, upper arm & forearm procedures except joint replacement$44,661$28,583$10,272
49313Other Knee/Lower Leg Surgery$28,418$18,188$6,536
50024Extracranial Vascular ProceduresNRNRNR
51248Major G.I. Bacterial Infections$21,294$13,628$4,898
52351Other Musculoskeletal System and Connective Tissue Diagnoses$19,801$12,673$4,554
53181Lower Extremity Arterial ProceduresNRNRNR
54862Other Factors Influencing Health Status$10,785$6,903$2,481
55812Poisoning of Medicinal Agents$11,095$7,101$2,552
56426Non-hypovolemic sodium disorders$13,336$8,535$3,067
57021Craniotomy Except For TraumaNRNRNR
58663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,710$9,414$3,383
59721Postoperative and Post-Traumatic Infections$27,760$17,767$6,385
60052Nontraumatic stupor & comaNRNRNR
61566Other Antepartum Diagnoses$4,006$2,564$921
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63055Head trauma w coma >1 hr or hemorrhageNRNRNR
64141Asthma$18,029$11,539$4,147
65143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
66321Upper Spinal FusionNRNRNR
67197Peripheral and Other Vascular DisordersNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69199Hypertension$23,023$14,735$5,295
70284Disorders of gallbladder & biliary tract$43,899$28,095$10,097
71696Other ChemotherapyNRNRNR
72171Pacemaker Implant without Heart Attack, Heart Failure or Shock$51,855$33,187$11,927
73660Major hematologic/immunologic diag exc sickle cell crisis & coagulNRNRNR
74207Other Circulatory System DiagnosesNRNRNR
75280Alcoholic Liver Disease$25,134$16,086$5,781

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 2017 - September 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)$10,347$6,622$2,380$13,038$8,344$2,999
Colonoscopy and Biopsy 45380)$6,472$4,142$1,489$7,446$4,765$1,713
Lesion Removal Colonoscopy by Snare Technique 45385)$6,738$4,312$1,550$7,234$4,630$1,664
Upper GI Endoscopy with Biopsy 43239)$5,513$3,528$1,268$7,253$4,642$1,668
Diagnostic Colonoscopy 45378)$5,740$3,673$1,320$6,869$4,396$1,580
Injection into Lumbar or Sacral Area, Single Level 64483)$3,979$2,546$915$4,801$3,073$1,104
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,932$2,516$904$4,152$2,658$955
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,534$1,622$583$3,936$2,519$905
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,957$3,813$1,370NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,388$3,449$1,239NRNRNR
Drain/Inject Major Joint or Bursa 20610)$1,366$874$314$1,951$1,249$449
Carpal Tunnel Surgery 64721)$7,025$4,496$1,616$17,813$11,401$4,097
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$11,833$7,573$2,721
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$15,255$9,763$3,509$19,672$12,590$4,525
Uppr GI Endoscopy- Diagnostic 43235)$4,899$3,135$1,127$6,510$4,167$1,497
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,932$2,516$904NRNRNR
Creation of Eardrum Opening 69436)$5,829$3,730$1,341$5,787$3,704$1,331
Left Heart Artery/Ventricle Angiography 93458)$23,670$15,149$5,444$29,725$19,024$6,837
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,367$1,515$545$3,984$2,550$916
Laparoscopic Cholecystectomy 47562)$30,261$19,367$6,960NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,817$3,723$1,338$8,388$5,368$1,929
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$35,036$22,423$8,058
Hysteroscopy with Biopsy 58558)$11,934$7,638$2,745$14,537$9,304$3,344
Cataract Surgery- Complex 66982)$11,890$7,610$2,735$12,239$7,833$2,815
Cystourethroscopy with Lithotripsy and Stent 52356)$16,296$10,429$3,748NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$9,065$5,802$2,085$12,932$8,277$2,974
Laparoscopic Hernia Repair - Initial 49650)$22,377$14,322$5,147$21,692$13,883$4,989
Incision of Finger Tendon Sheath 26055)$4,843$3,100$1,114$7,409$4,742$1,704
ABD Paracentesis w/Imaging 49083)$3,040$1,946$699NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$6,143$3,932$1,413$10,568$6,763$2,431
Total Knee Arthroscopy 27447)$45,106$28,868$10,374$47,720$30,541$10,976
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,627$7,441$2,674$17,187$11,000$3,953
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$17,803$11,394$4,095$18,165$11,626$4,178
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$6,523$4,175$1,500
Cystourethroscopy with Stent 52332)$15,015$9,610$3,454$14,322$9,166$3,294
Laparoscopy - Removal of Adnexal Structures 58661)$18,942$12,123$4,357$29,320$18,765$6,744
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$26,689$17,081$6,138$29,237$18,712$6,725
Laparoscopic Appendectomy 44970)$31,904$20,418$7,338$33,459$21,413$7,695
Mastectomy, Partial 19301)$10,600$6,784$2,438$19,889$12,729$4,575
Laparoscopy, Removal of Tubes & Ovaries 58571)$29,131$18,644$6,700$32,493$20,795$7,473
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$15,466$9,898$3,557NRNRNR
Unlisted Cystourethoscopy 52000)$3,409$2,182$784NRNRNR
Removal of Tonsils 42826)$10,459$6,694$2,406NRNRNR
Coronary Artery Angio S&I 93454)$15,552$9,953$3,577$21,364$13,673$4,914
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNR$24,435$15,639$5,620
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,615$7,434$2,671$16,946$10,845$3,898
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,847$3,742$1,345$5,620$3,597$1,293
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$37,017$23,691$8,514
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$13,657$8,740$3,141$21,492$13,755$4,943
Fragmenting of Kidney Stone 50590)$22,513$14,408$5,178$23,281$14,900$5,355
Debridement Skin/Tissue 11042)$6,467$4,139$1,487$8,391$5,370$1,930
Right and Left Heart Artery/Ventricle Angiography 93460)$27,091$17,338$6,231$28,527$18,257$6,561
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$9,642$6,171$2,218
Hysteroscopy with Ablation 58563)$12,505$8,003$2,876$19,745$12,637$4,541
Decompression of Ulnar Nerve at Elbow 64718)$13,952$8,929$3,209$15,647$10,014$3,599
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$27,919$17,868$6,421
Implant Neuroelectrodes 63650)$20,727$13,265$4,767$28,061$17,959$6,454
Removal of Adenoids 42830)$8,661$5,543$1,992$8,953$5,730$2,059
Shoulder Arthroscopy/Surgery 29824)NRNRNR$32,813$21,000$7,547
Repair of wrist joints 25447)$22,698$14,527$5,221$25,759$16,486$5,925
Upper GI Endoscopy w Removal of Foreign Body 43247)$10,642$6,811$2,448$7,372$4,718$1,696
Repair of upper eyelid with excessive skin 15823)$8,806$5,636$2,025$11,745$7,517$2,701
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$22,022$14,094$5,065$24,272$15,534$5,583
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$12,138$7,768$2,792
Biopsy of lung or mediastinum, percutaneous w/needle 32405)$9,601$6,145$2,208NRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)$658$421$151NRNRNR
Repair of Hammertoe 28285)$11,208$7,173$2,578$19,982$12,789$4,596
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.