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:  July 2021 - June 2022
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge		Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$12,983$7,400$4,674
4137Respiratory Infections and InflammationsNRNRNR
5194Heart Failure$22,066$12,577$7,944
6751Psychoses$51,550$29,384$18,558
7540Cesarean DeliveryNRNRNR
8775Alcohol Abuse/Dependence$10,580$6,030$3,809
9753Bipolar DisordersNRNRNR
10045Stroke and Precerebral Occlusion with Infarct$17,495$9,972$6,298
11201Heart Abnormal Rhythm and Conduction Disorders$8,767$4,997$3,156
12139Pneumonia$4,806$2,739$1,730
13133Respiratory failureNRNRNR
14469Acute Kidney Injury$5,387$3,070$1,939
15463Kidney/Urinary Tract InfectionNRNRNR
16174Percutaneous coronary intervention w AMINRNRNR
17420Diabetes$11,327$6,456$4,078
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$10,240$5,837$3,686
20140Chronic Obstructive Pulmonary Disease$15,505$8,838$5,582
21308Hip & femur fracture repair$32,352$18,441$11,647
22247Intestinal Obstruction without Surgery$3,402$1,939$1,225
23282Disorders of Pancreas Except Malignancy$10,603$6,044$3,817
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel procedures$41,557$23,687$14,960
26466Malfunction, reaction, complic of genitourinary device or procNRNRNR
27190Circulatory Disorders with Heart Attack$15,273$8,706$5,498
28754Depression$19,969$11,382$7,189
29058Other Disorders of Nervous System$28,897$16,471$10,403
30254Other Digestive System DiagnosesNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32326Elective knee joint replacement$41,635$23,732$14,989
33053Seizure$14,642$8,346$5,271
34192Cardiac catheterization for other non-coronary conditionsNRNRNR
35134Pulmonary Embolism$10,337$5,892$3,721
36241Peptic Ulcer/GastritisNRNRNR
37323Non-elective or complex hip joint replacement$45,886$26,155$16,519
38175Percutaneous coronary intervention w/o AMINRNRNR
39244Diverticulitis & Diverticulosis$9,348$5,329$3,365
40263Laparoscopic CholecystectomyNRNRNR
41230Major small bowel procedures$33,961$19,358$12,226
42426Non-hypovolemic sodium disorders$8,562$4,881$3,082
43862Other Factors Influencing Health StatusNRNRNR
44249Other gastroenteritis, nausea & vomiting$10,440$5,951$3,758
45861Signs & Symptoms$7,224$4,118$2,601
46324Elective hip joint replacement$42,176$24,040$15,183
47183Percutaneous structural cardiac proceduresNRNRNR
48347Other Back/Neck Disorders, Fractures, Injuries$17,673$10,074$6,362
49052Nontraumatic stupor & comaNRNRNR
50773Opioid Abuse/DependenceNRNRNR
51253Other and Unspecified Gastrointestinal Hemorrhage$4,608$2,626$1,659
52021Craniotomy Except For TraumaNRNRNR
53539Cesarean delivery with sterlizationNRNRNR
54566Other Antepartum DiagnosesNRNRNR
55351Other Musculoskeletal System and Connective Tissue Diagnoses$4,607$2,626$1,658
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$6,136$3,497$2,209
57055Head trauma w coma >1 hr or hemorrhageNRNRNR
58313Other Knee/Lower Leg SurgeryNRNRNR
59280Alcoholic Liver DiseaseNRNRNR
60403Surgical Procedures for ObesityNRNRNR
61130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63425Other Electrolyte DisordersNRNRNR
64755Neuroses Other Than Depression$31,630$18,029$11,387
65721Postoperative and Post-Traumatic InfectionsNRNRNR
66248Major G.I. Bacterial InfectionsNRNRNR
67817Overdose$9,435$5,378$3,397
68143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
69542Vaginal Delivery with Proc Except SterilizationNRNRNR
70171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
71182Other Peripheral Vascular ProceduresNRNRNR
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73284Disorders of gallbladder & biliary tractNRNRNR
74030Percutaneous intracranial and extracranial vascular proceduresNRNRNR
75626Normal Newborn Birthweight 2000g - 2499gNRNRNR

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 2021 - June 2022

 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)$5,455$3,110$1,964NRNRNR
Cataract Surgery with Intraocular Lens - Stage 1 66984)$12,021$6,852$4,327NRNRNR
Colonoscopy and Biopsy 45380)$6,020$3,431$2,167NRNRNR
Upper GI Endoscopy with Biopsy 43239)$5,310$3,027$1,912$6,637$3,783$2,389
Diagnostic Colonoscopy 45378)$3,516$2,004$1,266NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$7,651$4,361$2,754NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,504$1,997$1,261NRNRNR
Total Knee Arthroscopy 27447)$33,310$18,987$11,992$33,354$19,012$12,008
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
Carpal Tunnel Surgery 64721)$6,265$3,571$2,255NRNRNR
TOTAL HIP ARTHROPLASTY 27130)$35,617$20,301$12,822$36,460$20,782$13,126
Uppr GI Endoscopy- Diagnostic 43235)$5,352$3,050$1,927$7,195$4,101$2,590
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$10,027$5,715$3,610$22,798$12,995$8,207
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,495$3,702$2,338NRNRNR
Unlisted Dental Surgery Procedure 41899)$8,545$4,871$3,076NRNRNR
Esophageal Endoscopy with Dilation 43249)$5,691$3,244$2,049NRNRNR
Laparoscopic Cholecystectomy 47562)$15,381$8,767$5,537NRNRNR
Arthroscopic Rotator Cuff Repair 29827)$19,611$11,178$7,060$21,122$12,039$7,604
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$12,314$7,019$4,433NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,566$9,443$5,964NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$5,138$2,929$1,850$5,392$3,073$1,941
Incision of Finger Tendon Sheath 26055)$6,472$3,689$2,330$5,608$3,197$2,019
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$27,598$15,731$9,935NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)NRNRNR$37,174$21,189$13,383
Mastectomy, Partial 19301)$13,676$7,795$4,923$29,193$16,640$10,509
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$7,983$4,550$2,874NRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,340$4,754$3,002NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,888$9,626$6,080NRNRNR
RECONSTRUCT SHOULDER JOINT 23472)$45,639$26,014$16,430$40,722$23,212$14,660
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,893$5,639$3,562$23,524$13,409$8,469
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$20,226$11,529$7,281NRNRNR
Repair of Nasal Septum 30520)$12,985$7,401$4,675$13,896$7,921$5,002
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,574$6,597$4,166$17,405$9,921$6,266
Removal of Tonsils 42826)$9,328$5,317$3,358NRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
BREAST REDUCTION 19318)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
LAM FACETEC & FORAMOT LUMBAR 63047)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
COMPRE EP EVAL ABLTJ ATR FIB 93656)NRNRNRNRNRNR
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
RESECT INFERIOR TURBINATE 30140)NRNRNR$11,716$6,678$4,218
Biopsy of Prostate 55700)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$10,239$5,836$3,686$12,873$7,338$4,634
Upper GI Endoscopy w Removal of Foreign Body 43247)$16,113$9,185$5,801NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)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.