Stoughton Hospital Association
900 Ridge Street
Stoughton, WI 53589
608-873-6611
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2021 - December 2021
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge		Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$7,992$4,556$2,877
4137Respiratory Infections and Inflammations$13,583$7,742$4,890
5194Heart Failure$20,502$11,686$7,381
6751Psychoses$44,136$25,158$15,889
7540Cesarean DeliveryNRNRNR
8775Alcohol Abuse/Dependence$8,842$5,040$3,183
9753Bipolar DisordersNRNRNR
10201Heart Abnormal Rhythm and Conduction Disorders$7,098$4,046$2,555
11045Stroke and Precerebral Occlusion with InfarctNRNRNR
12469Acute Kidney Injury$6,342$3,615$2,283
13133Respiratory failureNRNRNR
14139Pneumonia$4,806$2,739$1,730
15463Kidney/Urinary Tract InfectionNRNRNR
16174Percutaneous coronary intervention w AMINRNRNR
17420Diabetes$9,384$5,349$3,378
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$9,947$5,670$3,581
20326Elective knee joint replacement$38,958$22,206$14,025
21282Disorders of Pancreas Except Malignancy$11,923$6,796$4,292
22247Intestinal Obstruction without Surgery$3,402$1,939$1,225
23308Hip & femur fracture repair$30,348$17,298$10,925
24140Chronic Obstructive Pulmonary DiseaseNRNRNR
25710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
26231Major large bowel procedures$41,557$23,687$14,960
27190Circulatory Disorders with Heart Attack$24,753$14,109$8,911
28466Malfunction, reaction, complic of genitourinary device or procNRNRNR
29058Other Disorders of Nervous System$28,897$16,471$10,403
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31754DepressionNRNRNR
32254Other Digestive System DiagnosesNRNRNR
33192Cardiac catheterization for other non-coronary conditionsNRNRNR
34134Pulmonary EmbolismNRNRNR
35053Seizure$17,149$9,775$6,174
36324Elective hip joint replacement$42,176$24,040$15,183
37244Diverticulitis & Diverticulosis$9,348$5,329$3,365
38241Peptic Ulcer/GastritisNRNRNR
39175Percutaneous coronary intervention w/o AMINRNRNR
40263Laparoscopic Cholecystectomy$27,523$15,688$9,908
41230Major small bowel procedures$33,961$19,358$12,226
42323Non-elective or complex hip joint replacement$47,100$26,847$16,956
43862Other Factors Influencing Health StatusNRNRNR
44426Non-hypovolemic sodium disorders$10,936$6,233$3,937
45773Opioid Abuse/DependenceNRNRNR
46861Signs & Symptoms$3,189$1,818$1,148
47347Other Back/Neck Disorders, Fractures, Injuries$17,673$10,074$6,362
48253Other and Unspecified Gastrointestinal Hemorrhage$4,608$2,626$1,659
49249Other gastroenteritis, nausea & vomiting$11,291$6,436$4,065
50052Nontraumatic stupor & comaNRNRNR
51566Other Antepartum DiagnosesNRNRNR
52663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
53539Cesarean delivery with sterlizationNRNRNR
54183Percutaneous structural cardiac proceduresNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56313Other Knee/Lower Leg SurgeryNRNRNR
57055Head trauma w coma >1 hr or hemorrhageNRNRNR
58280Alcoholic Liver DiseaseNRNRNR
59351Other Musculoskeletal System and Connective Tissue Diagnoses$5,111$2,913$1,840
60403Surgical Procedures for ObesityNRNRNR
61425Other Electrolyte DisordersNRNRNR
62721Postoperative and Post-Traumatic InfectionsNRNRNR
63166Coronary bypass w/o AMI or complex PDXNRNRNR
64248Major G.I. Bacterial InfectionsNRNRNR
65817Overdose$4,964$2,830$1,787
66755Neuroses Other Than DepressionNRNRNR
67130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
68171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
69182Other Peripheral Vascular ProceduresNRNRNR
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$12,598$7,181$4,535
71284Disorders of gallbladder & biliary tract$6,463$3,684$2,327
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73542Vaginal Delivery with Proc Except SterilizationNRNRNR
74042Degenerative nervous system disorders exc mult sclerosis$20,432$11,646$7,356
75197Peripheral and Other Vascular DisordersNRNRNR

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 2021 - December 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)$5,298$3,020$1,907NRNRNR
Cataract Surgery with Intraocular Lens - Stage 1 66984)$11,870$6,766$4,273NRNRNR
Colonoscopy and Biopsy 45380)$5,673$3,234$2,042NRNRNR
Upper GI Endoscopy with Biopsy 43239)$5,295$3,018$1,906$6,637$3,783$2,389
Diagnostic Colonoscopy 45378)$3,388$1,931$1,220NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,182$2,383$1,505NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,504$1,997$1,261NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)$32,968$18,792$11,868$32,532$18,543$11,712
Carpal Tunnel Surgery 64721)$5,744$3,274$2,068NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,965$2,830$1,787$6,897$3,931$2,483
TOTAL HIP ARTHROPLASTY 27130)$35,550$20,264$12,798$35,434$20,197$12,756
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,861$5,621$3,550NRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$8,222$4,687$2,960NRNRNR
Esophageal Endoscopy with Dilation 43249)$5,169$2,946$1,861$14,816$8,445$5,334
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$20,267$11,552$7,296$21,149$12,055$7,614
Laparoscopic Cholecystectomy 47562)$15,320$8,732$5,515NRNRNR
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$12,292$7,007$4,425NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,014$9,128$5,765NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$5,138$2,929$1,850$5,392$3,073$1,941
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$7,085$4,038$2,551NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,744$3,844$2,428NRNRNR
Laparoscopic Appendectomy 44970)$27,021$15,402$9,728$28,261$16,109$10,174
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,034$5,719$3,612$34,110$19,443$12,280
Mastectomy, Partial 19301)$14,670$8,362$5,281$29,060$16,564$10,462
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$17,883$10,194$6,438NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,795$5,583$3,526$22,839$13,018$8,222
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,012$4,567$2,884NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Tonsils 42826)$9,783$5,576$3,522NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$21,047$11,997$7,577NRNRNR
RECONSTRUCT SHOULDER JOINT 23472)$41,849$23,854$15,065$40,020$22,811$14,407
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,747$6,126$3,869$17,405$9,921$6,266
Repair of Nasal Septum 30520)$12,985$7,401$4,675$13,708$7,814$4,935
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$8,322$4,743$2,996NRNRNR
REDUCTION OF LARGE BREAST 19318)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$10,239$5,836$3,686$12,873$7,338$4,634
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
REMOVAL OF TURBINATE BONES 30140)NRNRNR$14,284$8,142$5,142
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)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.