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:  April 2020 - March 2021
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/SepticemiaNRNRNR
4137Respiratory Infections and InflammationsNRNRNR
5194Heart Failure$16,858$9,609$6,069
6751Psychoses$36,722$20,932$13,220
7540Cesarean DeliveryNRNRNR
8775Alcohol Abuse/Dependence$8,092$4,613$2,913
9753Bipolar DisordersNRNRNR
10045Stroke and Precerebral Occlusion with InfarctNRNRNR
11201Heart Abnormal Rhythm and Conduction Disorders$7,098$4,046$2,555
12469Acute Kidney InjuryNRNRNR
13463Kidney/Urinary Tract InfectionNRNRNR
14174Percutaneous coronary intervention w AMINRNRNR
15139Pneumonia$12,868$7,335$4,633
16133Respiratory failureNRNRNR
17420DiabetesNRNRNR
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$8,052$4,590$2,899
20282Disorders of Pancreas Except Malignancy$6,745$3,845$2,428
21308Hip & femur fracture repair$32,824$18,710$11,817
22247Intestinal Obstruction without Surgery$5,435$3,098$1,957
23301Hip Replacement$38,725$22,073$13,941
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25058Other Disorders of Nervous System$12,052$6,870$4,339
26231Major large bowel procedures$31,167$17,765$11,220
27466Malfunction, reaction, complic of genitourinary device or procNRNRNR
28302Knee Replacement$36,321$20,703$13,076
29254Other Digestive System Diagnoses$1,005$573$362
30134Pulmonary Embolism$7,095$4,044$2,554
31190Circulatory Disorders with Heart AttackNRNRNR
32140Chronic Obstructive Pulmonary Disease$9,898$5,642$3,563
33754DepressionNRNRNR
34304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
35241Peptic Ulcer/Gastritis$11,686$6,661$4,207
36053SeizureNRNRNR
37192Cardiac catheterization for other non-coronary conditionsNRNRNR
38263Laparoscopic Cholecystectomy$28,011$15,966$10,084
39244Diverticulitis & Diverticulosis$15,536$8,856$5,593
40326Elective knee joint replacement$38,512$21,952$13,864
41862Other Factors Influencing Health StatusNRNRNR
42175Percutaneous coronary intervention w/o AMINRNRNR
43230Major small bowel proceduresNRNRNR
44426Non-hypovolemic sodium disorders$14,970$8,533$5,389
45322Shoulder & Elbow Joint Replacement$50,051$28,529$18,018
46773Opioid Abuse/DependenceNRNRNR
47861Signs & SymptomsNRNRNR
48566Other Antepartum DiagnosesNRNRNR
49249Other gastroenteritis, nausea & vomitingNRNRNR
50253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
51052Nontraumatic stupor & coma$2,955$1,684$1,064
52313Other Knee/Lower Leg Surgery$33,202$18,925$11,953
53539Cesarean delivery with sterlizationNRNRNR
54663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
55347Other Back/Neck Disorders, Fractures, Injuries$4,951$2,822$1,782
56324Elective hip joint replacement$39,272$22,385$14,138
57182Other Peripheral Vascular ProceduresNRNRNR
58055Head trauma w coma >1 hr or hemorrhageNRNRNR
59280Alcoholic Liver Disease$18,051$10,289$6,499
60021Craniotomy Except For TraumaNRNRNR
61183Percutaneous structural cardiac proceduresNRNRNR
62721Postoperative and Post-Traumatic InfectionsNRNRNR
63248Major G.I. Bacterial InfectionsNRNRNR
64351Other Musculoskeletal System and Connective Tissue Diagnoses$10,943$6,237$3,939
65425Other Electrolyte DisordersNRNRNR
66817Overdose$2,905$1,656$1,046
67166Coronary bypass w/o AMI or complex PDXNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
70171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
71542Vaginal Delivery with Proc Except SterilizationNRNRNR
72284Disorders of gallbladder & biliary tractNRNRNR
73042Degenerative nervous system disorders exc mult sclerosis$24,166$13,775$8,700
74143Other respiratory diagnoses except signs, symptoms & minor diagnoses$14,309$8,156$5,151
75403Surgical Procedures for ObesityNRNRNR

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:  April 2020 - March 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*
Cataract Surgery with Intraocular Lens - Stage 1 66984)$11,497$6,553$4,139NRNRNR
Lesion Removal Colonoscopy by Snare Technique 45385)$5,114$2,915$1,841NRNRNR
Colonoscopy and Biopsy 45380)$5,195$2,961$1,870$5,733$3,268$2,064
Upper GI Endoscopy with Biopsy 43239)$4,992$2,846$1,797$8,003$4,562$2,881
Diagnostic Colonoscopy 45378)$3,219$1,835$1,159NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Carpal Tunnel Surgery 64721)$5,043$2,875$1,816NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)$33,499$19,094$12,060$31,462$17,934$11,326
Uppr GI Endoscopy- Diagnostic 43235)$4,980$2,838$1,793$6,488$3,698$2,336
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,550$5,444$3,438$21,221$12,096$7,640
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)$37,226$21,219$13,401$36,361$20,726$13,090
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$7,901$4,503$2,844NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$29,738$16,950$10,706$20,073$11,442$7,226
Laparoscopic Cholecystectomy 47562)$14,665$8,359$5,280NRNRNR
Esophageal Endoscopy with Dilation 43249)$5,158$2,940$1,857$15,751$8,978$5,671
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,072$9,161$5,786$16,389$9,342$5,900
Cataract Surgery- Complex 66982)$12,087$6,890$4,351NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$7,102$4,048$2,557NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$5,414$3,086$1,949NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,445$2,534$1,600NRNRNR
Laparoscopic Appendectomy 44970)$26,078$14,864$9,388$19,728$11,245$7,102
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,708$4,964$3,135$32,164$18,334$11,579
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,235$4,124$2,605NRNRNR
Mastectomy, Partial 19301)$7,666$4,369$2,760$19,974$11,385$7,190
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,713$9,527$6,017NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,396$5,926$3,743$20,722$11,811$7,460
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils 42826)$9,783$5,576$3,522NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$9,787$5,579$3,523NRNRNR
Debridement Skin/Tissue 11042)NRNRNR$10,564$6,022$3,803
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$8,037$4,581$2,893$19,437$11,079$6,997
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$23,375$13,324$8,415NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$10,885$6,204$3,919$13,540$7,718$4,874
REDUCTION OF LARGE BREAST 19318)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$18,928$10,789$6,814
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
REPAIR DETACHED RETINA 67108)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)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.