SSM Health Monroe Hospital
515 22nd Ave
Monroe, WI 53566
608-324-1000
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2020 - June 2021
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,021$1,692$725
2560Vaginal Delivery$11,368$6,366$2,728
3720Blood Infection/Septicemia$17,016$9,529$4,084
4137Respiratory Infections and InflammationsNRNRNR
5194Heart Failure$18,097$10,135$4,343
6751PsychosesNRNRNR
7540Cesarean Delivery$27,308$15,292$6,554
8775Alcohol Abuse/Dependence$9,132$5,114$2,192
9753Bipolar DisordersNRNRNR
10201Heart Abnormal Rhythm and Conduction Disorders$14,852$8,317$3,564
11045Stroke and Precerebral Occlusion with Infarct$26,846$15,034$6,443
12469Acute Kidney Injury$21,722$12,164$5,213
13463Kidney/Urinary Tract Infection$20,364$11,404$4,887
14133Respiratory failureNRNRNR
15174Percutaneous coronary intervention w AMI$50,529$28,296$12,127
16139Pneumonia$19,336$10,828$4,641
17420Diabetes$31,149$17,444$7,476
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$15,743$8,816$3,778
20282Disorders of Pancreas Except Malignancy$18,693$10,468$4,486
21308Hip & femur fracture repair$44,192$24,747$10,606
22247Intestinal Obstruction without Surgery$17,664$9,892$4,239
23326Elective knee joint replacement$41,967$23,501$10,072
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel procedures$47,031$26,337$11,287
26058Other Disorders of Nervous System$90,430$50,641$21,703
27304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
28140Chronic Obstructive Pulmonary Disease$21,450$12,012$5,148
29254Other Digestive System Diagnoses$18,057$10,112$4,334
30466Malfunction, reaction, complic of genitourinary device or procNRNRNR
31190Circulatory Disorders with Heart Attack$27,790$15,563$6,670
32134Pulmonary Embolism$16,608$9,301$3,986
33754DepressionNRNRNR
34192Cardiac catheterization for other non-coronary conditions$38,507$21,564$9,242
35053Seizure$15,358$8,600$3,686
36241Peptic Ulcer/Gastritis$20,759$11,625$4,982
37244Diverticulitis & Diverticulosis$19,389$10,858$4,653
38324Elective hip joint replacement$45,039$25,222$10,809
39263Laparoscopic Cholecystectomy$45,792$25,644$10,990
40175Percutaneous coronary intervention w/o AMI$46,339$25,950$11,121
41862Other Factors Influencing Health StatusNRNRNR
42230Major small bowel procedures$39,421$22,076$9,461
43773Opioid Abuse/Dependence$13,698$7,671$3,287
44426Non-hypovolemic sodium disorders$22,056$12,351$5,293
45861Signs & SymptomsNRNRNR
46322Shoulder & Elbow Joint Replacement$40,757$22,824$9,782
47301Hip Replacement$43,642$24,440$10,474
48249Other gastroenteritis, nausea & vomiting$31,066$17,397$7,456
49347Other Back/Neck Disorders, Fractures, Injuries$12,202$6,833$2,928
50052Nontraumatic stupor & comaNRNRNR
51302Knee Replacement$44,409$24,869$10,658
52253Other and Unspecified Gastrointestinal Hemorrhage$23,273$13,033$5,585
53566Other Antepartum Diagnoses$29,371$16,448$7,049
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,440$11,446$4,906
55313Other Knee/Lower Leg Surgery$31,734$17,771$7,616
56539Cesarean delivery with sterlization$28,831$16,145$6,919
57021Craniotomy Except For TraumaNRNRNR
58183Percutaneous structural cardiac proceduresNRNRNR
59323Non-elective or complex hip joint replacement$52,563$29,435$12,615
60280Alcoholic Liver Disease$16,866$9,445$4,048
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62351Other Musculoskeletal System and Connective Tissue Diagnoses$23,173$12,977$5,561
63182Other Peripheral Vascular Procedures$57,729$32,328$13,855
64721Postoperative and Post-Traumatic InfectionsNRNRNR
65425Other Electrolyte DisordersNRNRNR
66248Major G.I. Bacterial Infections$39,912$22,351$9,579
67166Coronary bypass w/o AMI or complex PDXNRNRNR
68403Surgical Procedures for ObesityNRNRNR
69817Overdose$12,769$7,151$3,065
70755Neuroses Other Than DepressionNRNRNR
71171Pacemaker Implant without Heart Attack, Heart Failure or Shock$75,547$42,306$18,131
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$22,622$12,668$5,429
73284Disorders of gallbladder & biliary tract$31,351$17,556$7,524
74042Degenerative nervous system disorders exc mult sclerosisNRNRNR
75163Cardiac valve procedures w/o AMI or complex PDXNRNRNR

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 2020 - June 2021

 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*
Lesion Removal Colonoscopy by Snare Technique 45385)$6,236$3,492$1,497$7,153$4,005$1,717
Cataract Surgery with Intraocular Lens - Stage 1 66984)$16,364$9,164$3,927NRNRNR
Colonoscopy and Biopsy 45380)$6,238$3,493$1,497$7,248$4,059$1,739
Upper GI Endoscopy with Biopsy 43239)$6,212$3,479$1,491$8,473$4,745$2,033
Diagnostic Colonoscopy 45378)$5,621$3,148$1,349NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)$2,463$1,379$591$4,233$2,370$1,016
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$1,111$622$267$2,355$1,319$565
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,445$3,049$1,307NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,261$1,266$543$5,776$3,235$1,386
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,578$3,124$1,339NRNRNR
Total Knee Arthroscopy 27447)$40,775$22,834$9,786$46,097$25,815$11,063
Carpal Tunnel Surgery 64721)$12,434$6,963$2,984NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,569$3,119$1,337$7,660$4,290$1,838
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$16,254$9,102$3,901$32,224$18,045$7,734
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)$10,999$6,160$2,640$14,107$7,900$3,386
TOTAL HIP ARTHROPLASTY 27130)$42,277$23,675$10,147NRNRNR
Left Heart Artery/Ventricle Angiography 93458)$17,380$9,733$4,171$22,889$12,818$5,493
Drain/Inject Major Joint or Bursa 20610)$2,416$1,353$580$3,735$2,092$896
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$7,419$4,155$1,781$7,819$4,379$1,877
Arthroscopic Rotator Cuff Repair 29827)$29,631$16,593$7,111$30,307$16,972$7,274
Cystourethroscopy with Lithotripsy and Stent 52356)$28,754$16,102$6,901NRNRNR
Laparoscopic Cholecystectomy 47562)$24,819$13,898$5,956$35,970$20,143$8,633
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$1,974$1,105$474NRNRNR
Cataract Surgery- Complex 66982)$17,094$9,572$4,102$21,063$11,795$5,055
Hysteroscopy with Biopsy 58558)$15,358$8,600$3,686$30,138$16,877$7,233
Laparoscopic Hernia Repair - Initial 49650)$28,924$16,197$6,942$27,576$15,442$6,618
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$7,704$4,314$1,849NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,286$1,280$549$3,373$1,889$810
Incision of Finger Tendon Sheath 26055)$12,672$7,096$3,041$12,734$7,131$3,056
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$26,782$14,998$6,428
Laparoscopy, Removal of Tubes & Ovaries 58571)$39,217$21,961$9,412$38,022$21,292$9,125
ABD Paracentesis w/Imaging 49083)$4,200$2,352$1,008$11,487$6,432$2,757
Laparoscopic Appendectomy 44970)$35,258$19,744$8,462$37,025$20,734$8,886
Laparoscopy - Removal of Adnexal Structures 58661)$33,824$18,941$8,118NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$17,110$9,582$4,106$24,617$13,786$5,908
Mastectomy, Partial 19301)$19,058$10,673$4,574$28,414$15,912$6,819
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$4,830$2,705$1,159$11,836$6,628$2,841
Cystourethroscopy with Stent 52332)$17,942$10,048$4,306$25,427$14,239$6,102
Unlisted Cystourethoscopy 52000)$15,034$8,419$3,608$18,103$10,137$4,345
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$15,817$8,857$3,796$16,957$9,496$4,070
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$27,806$15,572$6,674NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$16,640$9,319$3,994NRNRNR
Coronary Artery Angio S&I 93454)$17,768$9,950$4,264$19,043$10,664$4,570
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$21,274$11,913$5,106$23,942$13,407$5,746
Creation of Eardrum Opening 69436)$11,694$6,549$2,807NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)$18,212$10,199$4,371$31,891$17,859$7,654
FNA BX W/US GDN 1ST LES 10005)$2,360$1,322$566$10,054$5,630$2,413
Removal of Tonsils 42826)$17,343$9,712$4,162NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$16,089$9,010$3,861$15,099$8,455$3,624
Biopsy breast w/stereotactic image; 1 lesion 19081)$6,692$3,747$1,606$10,996$6,158$2,639
Fragmenting of Kidney Stone 50590)$36,818$20,618$8,836$40,376$22,610$9,690
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$20,321$11,380$4,877NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$40,638$22,757$9,753NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$20,052$11,229$4,813$30,674$17,177$7,362
DX BONE MARROW BX & ASPIR 38222)$13,462$7,539$3,231NRNRNR
Repair of Nasal Septum 30520)$20,609$11,541$4,946$27,071$15,160$6,497
Debridement Skin/Tissue 11042)NRNRNR$15,926$8,919$3,822
REDUCTION OF LARGE BREAST 19318)NRNRNRNRNRNR
Repair of wrist joints 25447)$23,736$13,292$5,697NRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNR$19,916$11,153$4,780
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$9,853$5,518$2,365NRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)$22,530$12,617$5,407NRNRNR
Hysteroscopy with Ablation 58563)$17,951$10,052$4,308$27,487$15,392$6,597
REMOVAL OF TURBINATE BONES 30140)$19,648$11,003$4,715$20,102$11,257$4,824
Biopsy of Prostate 55700)$17,381$9,733$4,171NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$22,572$12,640$5,417NRNRNR
Information about quality and safety of care for SSM Health Monroe Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.