Sauk Prairie Healthcare
260 26th Street
Prairie du Sac, WI 53578
608-643-3311
 
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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+$3,437$2,062$928
2560Vaginal Delivery$9,998$5,999$2,699
3720Blood Infection/Septicemia$19,290$11,574$5,208
4137Respiratory Infections and InflammationsNRNRNR
5194Heart Failure$11,937$7,162$3,223
6751PsychosesNRNRNR
7540Cesarean Delivery$16,923$10,154$4,569
8775Alcohol Abuse/Dependence$29,184$17,510$7,880
9753Bipolar DisordersNRNRNR
10045Stroke and Precerebral Occlusion with Infarct$30,368$18,221$8,199
11201Heart Abnormal Rhythm and Conduction Disorders$15,082$9,049$4,072
12469Acute Kidney Injury$21,653$12,992$5,846
13463Kidney/Urinary Tract Infection$16,858$10,115$4,552
14174Percutaneous coronary intervention w AMINRNRNR
15139PneumoniaNRNRNR
16133Respiratory failureNRNRNR
17420Diabetes$8,306$4,983$2,243
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$15,254$9,152$4,119
20282Disorders of Pancreas Except Malignancy$17,467$10,480$4,716
21308Hip & femur fracture repair$40,719$24,432$10,994
22247Intestinal Obstruction without Surgery$27,095$16,257$7,316
23301Hip Replacement$30,300$18,180$8,181
24710Infectious & parasitic diseases including HIV w O.R. procedure$34,586$20,752$9,338
25058Other Disorders of Nervous System$20,986$12,592$5,666
26231Major large bowel procedures$35,190$21,114$9,501
27466Malfunction, reaction, complic of genitourinary device or procNRNRNR
28302Knee Replacement$25,594$15,356$6,910
29254Other Digestive System Diagnoses$22,682$13,609$6,124
30134Pulmonary Embolism$28,562$17,137$7,712
31190Circulatory Disorders with Heart Attack$20,845$12,507$5,628
32140Chronic Obstructive Pulmonary Disease$26,724$16,034$7,215
33754DepressionNRNRNR
34304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
35241Peptic Ulcer/Gastritis$19,781$11,869$5,341
36053Seizure$10,493$6,296$2,833
37192Cardiac catheterization for other non-coronary conditionsNRNRNR
38263Laparoscopic Cholecystectomy$29,008$17,405$7,832
39244Diverticulitis & Diverticulosis$25,944$15,567$7,005
40326Elective knee joint replacement$25,924$15,554$6,999
41862Other Factors Influencing Health StatusNRNRNR
42175Percutaneous coronary intervention w/o AMINRNRNR
43230Major small bowel procedures$65,113$39,068$17,581
44426Non-hypovolemic sodium disorders$18,031$10,819$4,868
45322Shoulder & Elbow Joint Replacement$34,415$20,649$9,292
46773Opioid Abuse/Dependence$23,606$14,164$6,374
47861Signs & SymptomsNRNRNR
48566Other Antepartum Diagnoses$7,469$4,481$2,017
49249Other gastroenteritis, nausea & vomiting$20,158$12,095$5,443
50253Other and Unspecified Gastrointestinal Hemorrhage$25,547$15,328$6,898
51052Nontraumatic stupor & coma$9,674$5,804$2,612
52313Other Knee/Lower Leg Surgery$31,223$18,734$8,430
53539Cesarean delivery with sterlization$16,157$9,694$4,362
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,154$6,092$2,742
55347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
56324Elective hip joint replacement$30,674$18,404$8,282
57182Other Peripheral Vascular ProceduresNRNRNR
58055Head trauma w coma >1 hr or hemorrhageNRNRNR
59280Alcoholic Liver DiseaseNRNRNR
60021Craniotomy Except For TraumaNRNRNR
61183Percutaneous structural cardiac proceduresNRNRNR
62721Postoperative and Post-Traumatic Infections$22,604$13,563$6,103
63248Major G.I. Bacterial Infections$15,920$9,552$4,298
64351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
65425Other Electrolyte Disorders$11,635$6,981$3,142
66817Overdose$12,735$7,641$3,438
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 Sterilization$10,454$6,273$2,823
72284Disorders of gallbladder & biliary tractNRNRNR
73042Degenerative nervous system disorders exc mult sclerosis$30,411$18,247$8,211
74143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
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)$8,017$4,810$2,165NRNRNR
Lesion Removal Colonoscopy by Snare Technique 45385)$5,713$3,428$1,543$6,552$3,931$1,769
Colonoscopy and Biopsy 45380)$5,752$3,451$1,553$6,782$4,069$1,831
Upper GI Endoscopy with Biopsy 43239)$5,535$3,321$1,494$6,257$3,754$1,689
Diagnostic Colonoscopy 45378)$5,167$3,100$1,395$5,648$3,389$1,525
Injection into Lumbar or Sacral Area, Single Level 64483)$4,815$2,889$1,300$5,000$3,000$1,350
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$4,791$2,874$1,293$5,077$3,046$1,371
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,123$3,074$1,383NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,440$2,664$1,199$4,913$2,948$1,327
Carpal Tunnel Surgery 64721)$5,761$3,457$1,556$6,299$3,780$1,701
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,162$3,097$1,394NRNRNR
Total Knee Arthroscopy 27447)$24,146$14,488$6,520$21,818$13,091$5,891
Uppr GI Endoscopy- Diagnostic 43235)$5,151$3,091$1,391$5,579$3,348$1,506
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$10,570$6,342$2,854$9,773$5,864$2,639
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$6,361$3,816$1,717
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)$29,125$17,475$7,864NRNRNR
Drain/Inject Major Joint or Bursa 20610)$4,698$2,819$1,268$4,774$2,865$1,289
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$15,001$9,000$4,050$15,861$9,516$4,282
Arthroscopic Rotator Cuff Repair 29827)$16,641$9,985$4,493$16,919$10,151$4,568
Laparoscopic Cholecystectomy 47562)$14,744$8,846$3,981$19,710$11,826$5,322
Esophageal Endoscopy with Dilation 43249)$5,588$3,353$1,509$6,245$3,747$1,686
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$5,799$3,479$1,566NRNRNR
Hysteroscopy with Biopsy 58558)$8,503$5,102$2,296$7,819$4,691$2,111
Laparoscopic Hernia Repair - Initial 49650)$14,830$8,898$4,004$17,266$10,360$4,662
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$5,193$3,116$1,402$5,163$3,098$1,394
Incision of Finger Tendon Sheath 26055)$5,055$3,033$1,365$5,743$3,446$1,551
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$22,188$13,313$5,991$22,521$13,513$6,081
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$18,143$10,886$4,899$20,137$12,082$5,437
Laparoscopy - Removal of Adnexal Structures 58661)$14,069$8,441$3,799$15,884$9,530$4,289
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,261$4,957$2,230$8,420$5,052$2,273
Cystourethroscopy with Stent 52332)$6,834$4,100$1,845$13,071$7,843$3,529
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNR$10,982$6,589$2,965
Mastectomy, Partial 19301)$6,885$4,131$1,859$19,014$11,408$5,134
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$7,334$4,400$1,980NRNRNR
Creation of Eardrum Opening 69436)$6,781$4,068$1,831NRNRNR
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)$17,598$10,559$4,752$23,314$13,988$6,295
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$8,924$5,354$2,409NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,358$5,615$2,527$11,765$7,059$3,177
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils 42826)$11,947$7,168$3,226NRNRNR
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)NRNRNR$5,034$3,020$1,359
Decompression of Ulnar Nerve at Elbow 64718)NRNRNR$12,151$7,291$3,281
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$12,403$7,442$3,349NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,388$8,033$3,615$14,828$8,897$4,004
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$22,384$13,430$6,044$22,680$13,608$6,124
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Repair of wrist joints 25447)$13,278$7,967$3,585NRNRNR
Repair of Nasal Septum 30520)NRNRNRNRNRNR
REDUCTION OF LARGE BREAST 19318)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$6,891$4,134$1,860$8,538$5,123$2,305
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)$2,427$1,456$655NRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)$13,121$7,872$3,543$13,388$8,033$3,615
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
REPAIR DETACHED RETINA 67108)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$10,575$6,345$2,855$10,316$6,190$2,785
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$14,942$8,965$4,034$14,549$8,729$3,928
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Information about quality and safety of care for Sauk Prairie Healthcare may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.