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:  January 2019 - December 2019
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,576$2,145$965
2560Vaginal Delivery$9,846$5,908$2,658
3720Blood Infection/Septicemia$17,710$10,626$4,782
4194Heart Failure$12,263$7,358$3,311
5751PsychosesNRNRNR
6540Cesarean Delivery$17,895$10,737$4,832
7301Hip Replacement$26,294$15,777$7,099
8302Knee Replacement$24,997$14,998$6,749
9139Pneumonia$17,162$10,297$4,634
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$10,196$6,117$2,753
12201Heart Abnormal Rhythm and Conduction Disorders$10,137$6,082$2,737
13133Respiratory failureNRNRNR
14045Stroke and Precerebral Occlusion with Infarct$32,697$19,618$8,828
15140Chronic Obstructive Pulmonary Disease$12,897$7,738$3,482
16469Acute Kidney Injury$9,863$5,918$2,663
17463Kidney/Urinary Tract Infection$17,061$10,236$4,606
18383Cellulitis & other skin infections$13,158$7,895$3,553
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21420Diabetes$6,617$3,970$1,787
22282Disorders of Pancreas Except Malignancy$12,228$7,337$3,302
23247Intestinal Obstruction without Surgery$19,885$11,931$5,369
24308Hip & femur fracture repair$48,357$29,014$13,056
25175Percutaneous coronary intervention w/o AMINRNRNR
26190Circulatory Disorders with Heart AttackNRNRNR
27231Major large bowel procedures$24,758$14,855$6,685
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$51,344$30,806$13,863
29254Other Digestive System Diagnoses$23,545$14,127$6,357
30058Other Disorders of Nervous System$27,067$16,240$7,308
31754DepressionNRNRNR
32053Seizure$14,284$8,570$3,857
33137Respiratory Infections and Inflammations$16,901$10,141$4,563
34192Cardiac catheterization for other non-coronary conditionsNRNRNR
35466Malfunction, reaction, complic of genitourinary device or procNRNRNR
36134Pulmonary Embolism$35,524$21,314$9,591
37710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
38241Peptic Ulcer/Gastritis$11,984$7,190$3,236
39244Diverticulitis & Diverticulosis$16,533$9,920$4,464
40263Laparoscopic Cholecystectomy$24,543$14,726$6,627
41322Shoulder & Elbow Joint Replacement$27,979$16,788$7,554
42249Other gastroenteritis, nausea & vomiting$26,635$15,981$7,191
43773Opioid Abuse/DependenceNRNRNR
44313Other Knee/Lower Leg Surgery$23,062$13,837$6,227
45862Other Factors Influencing Health StatusNRNRNR
46230Major small bowel proceduresNRNRNR
47347Other Back/Neck Disorders, Fractures, InjuriesNRNRNR
48861Signs & Symptoms$15,460$9,276$4,174
49024Extracranial Vascular ProceduresNRNRNR
50253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
51426Non-hypovolemic sodium disorders$14,526$8,716$3,922
52351Other Musculoskeletal System and Connective Tissue Diagnoses$19,474$11,684$5,258
53021Craniotomy Except For TraumaNRNRNR
54052Nontraumatic stupor & comaNRNRNR
55248Major G.I. Bacterial InfectionsNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$26,496$15,898$7,154
57181Lower Extremity Arterial ProceduresNRNRNR
58055Head trauma w coma >1 hr or hemorrhage$18,194$10,916$4,912
59812Poisoning of Medicinal AgentsNRNRNR
60166Coronary bypass w/o AMI or complex PDXNRNRNR
61113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
62755Neuroses Other Than DepressionNRNRNR
63566Other Antepartum DiagnosesNRNRNR
64721Postoperative and Post-Traumatic Infections$18,899$11,339$5,103
65143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
66171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
67280Alcoholic Liver Disease$22,315$13,389$6,025
68425Other Electrolyte Disorders$9,334$5,601$2,520
69197Peripheral and Other Vascular DisordersNRNRNR
70321Upper Spinal FusionNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
72696Other ChemotherapyNRNRNR
73284Disorders of gallbladder & biliary tractNRNRNR
74042Degenerative nervous system disorders exc mult sclerosisNRNRNR
75756Acute Adjust React Psychosocial DysfunctionNRNRNR

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 2019 - December 2019

 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)$7,175$4,305$1,937NRNRNR
Colonoscopy and Biopsy 45380)$5,223$3,134$1,410$6,172$3,703$1,666
Lesion Removal Colonoscopy by Snare Technique 45385)$5,219$3,131$1,409$6,140$3,684$1,658
Upper GI Endoscopy with Biopsy 43239)$5,199$3,119$1,404$6,269$3,762$1,693
Diagnostic Colonoscopy 45378)$4,781$2,869$1,291$5,737$3,442$1,549
Injection into Lumbar or Sacral Area, Single Level 64483)$4,431$2,658$1,196$4,488$2,693$1,212
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$4,069$2,442$1,099$4,274$2,565$1,154
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$4,231$2,539$1,142$4,286$2,571$1,157
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,752$2,851$1,283NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,846$2,908$1,308NRNRNR
Carpal Tunnel Surgery 64721)$5,336$3,202$1,441$5,825$3,495$1,573
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$5,013$3,008$1,353
Uppr GI Endoscopy- Diagnostic 43235)$4,702$2,821$1,270$5,323$3,194$1,437
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$10,405$6,243$2,809$10,930$6,558$2,951
Drain/Inject Major Joint or Bursa 20610)$4,009$2,405$1,082$4,498$2,699$1,215
Creation of Eardrum Opening 69436)$6,669$4,002$1,801$9,378$5,627$2,532
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$4,253$2,552$1,148NRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)$20,605$12,363$5,563NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$4,062$2,437$1,097$4,238$2,543$1,144
Esophageal Endoscopy with Dilation 43249)$5,143$3,086$1,389$5,500$3,300$1,485
Laparoscopic Cholecystectomy 47562)$12,359$7,415$3,337$16,706$10,024$4,511
Arthroscopic Rotator Cuff Repair 29827)$15,454$9,272$4,173$15,271$9,162$4,123
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$4,848$2,909$1,309
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$7,908$4,745$2,135NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$13,296$7,978$3,590$13,971$8,383$3,772
Hysteroscopy with Biopsy 58558)$9,848$5,909$2,659NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$9,893$5,936$2,671$10,180$6,108$2,749
Laparoscopic Hernia Repair - Initial 49650)$13,508$8,105$3,647$15,262$9,157$4,121
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$4,783$2,870$1,292$5,195$3,117$1,403
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$4,697$2,818$1,268
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,343$5,606$2,523$9,624$5,775$2,599
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$12,114$7,268$3,271$13,628$8,177$3,679
Laparoscopy, Removal of Tubes & Ovaries 58571)$16,785$10,071$4,532$17,687$10,612$4,775
Unlisted Cystourethoscopy 52000)$5,447$3,268$1,471NRNRNR
Laparoscopic Appendectomy 44970)$17,574$10,545$4,745$21,662$12,997$5,849
Cystourethroscopy with Stent 52332)$6,490$3,894$1,752$12,893$7,736$3,481
Mastectomy, Partial 19301)NRNRNR$17,299$10,380$4,671
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,224$5,535$2,491NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$15,007$9,004$4,052$21,663$12,998$5,849
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,994$6,597$2,968$11,629$6,977$3,140
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils 42826)$11,236$6,741$3,034NRNRNR
Debridement Skin/Tissue 11042)NRNRNR$13,047$7,828$3,523
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,886$7,732$3,479$14,799$8,879$3,996
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$18,527$11,116$5,002$19,083$11,450$5,152
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$10,361$6,217$2,798NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$9,538$5,723$2,575
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)$12,153$7,292$3,281$12,347$7,408$3,334
ESOPHAGUS MOTILITY STUDY 91010)$2,280$1,368$615NRNRNR
Hysteroscopy with Ablation 58563)$11,530$6,918$3,113$12,117$7,270$3,272
Repair of wrist joints 25447)$12,304$7,382$3,322$12,466$7,479$3,366
Implant Neuroelectrodes 63650)$8,612$5,167$2,325NRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$5,804$3,482$1,567$7,724$4,635$2,086
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$12,438$7,463$3,358$14,898$8,939$4,022
Repair of Hammertoe 28285)$9,385$5,631$2,534$8,381$5,029$2,263
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$15,017$9,010$4,055
REMOVAL OF TURBINATE BONES 30140)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)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.