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:  October 2020 - September 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$16,858$9,609$6,069
6751Psychoses$44,136$25,158$15,889
7540Cesarean DeliveryNRNRNR
8775Alcohol Abuse/Dependence$8,842$5,040$3,183
9753Bipolar DisordersNRNRNR
10045Stroke and Precerebral Occlusion with InfarctNRNRNR
11201Heart Abnormal Rhythm and Conduction Disorders$7,098$4,046$2,555
12469Acute Kidney Injury$8,572$4,886$3,086
13133Respiratory failureNRNRNR
14463Kidney/Urinary Tract InfectionNRNRNR
15139Pneumonia$4,806$2,739$1,730
16174Percutaneous coronary intervention w AMINRNRNR
17326Elective knee joint replacement$38,812$22,123$13,972
18420Diabetes$9,384$5,349$3,378
19750SchizophreniaNRNRNR
20383Cellulitis & other skin infections$9,947$5,670$3,581
21282Disorders of Pancreas Except Malignancy$9,119$5,198$3,283
22308Hip & femur fracture repair$27,872$15,887$10,034
23247Intestinal Obstruction without Surgery$3,402$1,939$1,225
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel procedures$36,362$20,726$13,090
26140Chronic Obstructive Pulmonary DiseaseNRNRNR
27058Other Disorders of Nervous System$12,052$6,870$4,339
28324Elective hip joint replacement$39,272$22,385$14,138
29466Malfunction, reaction, complic of genitourinary device or procNRNRNR
30254Other Digestive System Diagnoses$1,005$573$362
31190Circulatory Disorders with Heart Attack$24,753$14,109$8,911
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
33754DepressionNRNRNR
34134Pulmonary EmbolismNRNRNR
35192Cardiac catheterization for other non-coronary conditionsNRNRNR
36053SeizureNRNRNR
37241Peptic Ulcer/Gastritis$11,686$6,661$4,207
38244Diverticulitis & Diverticulosis$13,921$7,935$5,011
39263Laparoscopic Cholecystectomy$27,523$15,688$9,908
40175Percutaneous coronary intervention w/o AMINRNRNR
41323Non-elective or complex hip joint replacement$41,283$23,531$14,862
42862Other Factors Influencing Health StatusNRNRNR
43230Major small bowel procedures$33,961$19,358$12,226
44426Non-hypovolemic sodium disorders$14,970$8,533$5,389
45861Signs & SymptomsNRNRNR
46773Opioid Abuse/DependenceNRNRNR
47347Other Back/Neck Disorders, Fractures, Injuries$11,777$6,713$4,240
48253Other and Unspecified Gastrointestinal Hemorrhage$4,608$2,626$1,659
49249Other gastroenteritis, nausea & vomiting$11,291$6,436$4,065
50052Nontraumatic stupor & comaNRNRNR
51663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
52539Cesarean delivery with sterlizationNRNRNR
53566Other Antepartum DiagnosesNRNRNR
54313Other Knee/Lower Leg Surgery$40,931$23,331$14,735
55183Percutaneous structural cardiac proceduresNRNRNR
56021Craniotomy Except For TraumaNRNRNR
57055Head trauma w coma >1 hr or hemorrhageNRNRNR
58280Alcoholic Liver Disease$18,051$10,289$6,499
59351Other Musculoskeletal System and Connective Tissue Diagnoses$7,481$4,264$2,693
60721Postoperative and Post-Traumatic InfectionsNRNRNR
61425Other Electrolyte DisordersNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63403Surgical Procedures for ObesityNRNRNR
64248Major G.I. Bacterial InfectionsNRNRNR
65322Shoulder & Elbow Joint Replacement$35,916$20,472$12,930
66817Overdose$2,905$1,656$1,046
67755Neuroses Other Than DepressionNRNRNR
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
72130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
73042Degenerative nervous system disorders exc mult sclerosis$19,762$11,264$7,114
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75542Vaginal Delivery with Proc Except SterilizationNRNRNR

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 2020 - September 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)$5,205$2,967$1,874NRNRNR
Cataract Surgery with Intraocular Lens - Stage 1 66984)$11,783$6,717$4,242NRNRNR
Colonoscopy and Biopsy 45380)$5,575$3,178$2,007NRNRNR
Upper GI Endoscopy with Biopsy 43239)$5,357$3,053$1,928$11,651$6,641$4,194
Diagnostic Colonoscopy 45378)$3,297$1,879$1,187NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)$32,618$18,592$11,743$32,303$18,412$11,629
Carpal Tunnel Surgery 64721)$5,713$3,256$2,057NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,968$2,832$1,788$6,803$3,878$2,449
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,714$5,537$3,497NRNRNR
TOTAL HIP ARTHROPLASTY 27130)$36,201$20,635$13,032$36,361$20,726$13,090
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$8,068$4,599$2,905NRNRNR
Esophageal Endoscopy with Dilation 43249)$5,192$2,960$1,869$8,531$4,862$3,071
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$29,738$16,950$10,706$20,385$11,619$7,339
Laparoscopic Cholecystectomy 47562)$14,997$8,548$5,399NRNRNR
Cataract Surgery- Complex 66982)$12,191$6,949$4,389NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,014$9,128$5,765$16,389$9,342$5,900
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$7,102$4,048$2,557$5,392$3,073$1,941
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$5,006$2,853$1,802NRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$26,764$15,255$9,635$28,261$16,109$10,174
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Mastectomy, Partial 19301)$19,226$10,959$6,921$29,060$16,564$10,462
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,190$4,668$2,948$36,010$20,525$12,963
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$18,713$10,666$6,737NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,795$5,583$3,526$22,839$13,018$8,222
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,012$4,567$2,884NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils 42826)$9,783$5,576$3,522NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$8,322$4,743$2,996NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$23,375$13,324$8,415NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,730$6,116$3,863$19,437$11,079$6,997
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$11,125$6,341$4,005$13,181$7,513$4,745
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$9,081$5,176$3,269$15,324$8,735$5,517
REDUCTION OF LARGE BREAST 19318)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
RECONSTRUCT SHOULDER JOINT 23472)$40,895$23,310$14,722NRNRNR
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNRNRNRNR
REMOVAL OF TURBINATE BONES 30140)NRNRNR$12,988$7,403$4,676
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)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.