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 2021 - March 2022
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,797$2,278$1,025
2560Vaginal Delivery$10,452$6,271$2,822
3720Blood Infection/Septicemia$23,034$13,821$6,219
4137Respiratory Infections and InflammationsNRNRNR
5194Heart Failure$14,301$8,581$3,861
6751PsychosesNRNRNR
7540Cesarean Delivery$20,131$12,078$5,435
8775Alcohol Abuse/Dependence$15,606$9,363$4,214
9753Bipolar DisordersNRNRNR
10045Stroke and Precerebral Occlusion with Infarct$29,500$17,700$7,965
11201Heart Abnormal Rhythm and Conduction Disorders$17,917$10,750$4,838
12133Respiratory failureNRNRNR
13469Acute Kidney Injury$14,615$8,769$3,946
14139Pneumonia$15,712$9,427$4,242
15463Kidney/Urinary Tract Infection$22,155$13,293$5,982
16174Percutaneous coronary intervention w AMINRNRNR
17420Diabetes$15,164$9,099$4,094
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$24,085$14,451$6,503
20140Chronic Obstructive Pulmonary Disease$15,281$9,168$4,126
21247Intestinal Obstruction without Surgery$22,371$13,422$6,040
22282Disorders of Pancreas Except Malignancy$24,572$14,743$6,634
23308Hip & femur fracture repair$42,863$25,718$11,573
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel procedures$31,013$18,608$8,374
26326Elective knee joint replacement$27,126$16,276$7,324
27190Circulatory Disorders with Heart Attack$17,977$10,786$4,854
28466Malfunction, reaction, complic of genitourinary device or procNRNRNR
29754DepressionNRNRNR
30254Other Digestive System Diagnoses$16,875$10,125$4,556
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32058Other Disorders of Nervous SystemNRNRNR
33192Cardiac catheterization for other non-coronary conditionsNRNRNR
34134Pulmonary Embolism$24,513$14,708$6,618
35053SeizureNRNRNR
36241Peptic Ulcer/Gastritis$38,044$22,827$10,272
37244Diverticulitis & Diverticulosis$24,685$14,811$6,665
38175Percutaneous coronary intervention w/o AMINRNRNR
39323Non-elective or complex hip joint replacement$46,624$27,974$12,588
40263Laparoscopic Cholecystectomy$37,185$22,311$10,040
41324Elective hip joint replacement$32,225$19,335$8,701
42230Major small bowel proceduresNRNRNR
43862Other Factors Influencing Health Status$18,964$11,379$5,120
44426Non-hypovolemic sodium disorders$8,429$5,058$2,276
45249Other gastroenteritis, nausea & vomiting$26,946$16,167$7,275
46773Opioid Abuse/DependenceNRNRNR
47861Signs & Symptoms$13,585$8,151$3,668
48347Other Back/Neck Disorders, Fractures, Injuries$44,450$26,670$12,001
49253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
50183Percutaneous structural cardiac proceduresNRNRNR
51052Nontraumatic stupor & comaNRNRNR
52539Cesarean delivery with sterlization$17,709$10,625$4,781
53566Other Antepartum Diagnoses$11,594$6,957$3,131
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,210$7,926$3,567
55021Craniotomy Except For TraumaNRNRNR
56055Head trauma w coma >1 hr or hemorrhage$19,763$11,858$5,336
57351Other Musculoskeletal System and Connective Tissue Diagnoses$15,251$9,150$4,118
58313Other Knee/Lower Leg Surgery$20,552$12,331$5,549
59280Alcoholic Liver DiseaseNRNRNR
60130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
61403Surgical Procedures for ObesityNRNRNR
62425Other Electrolyte Disorders$31,824$19,095$8,593
63248Major G.I. Bacterial InfectionsNRNRNR
64166Coronary bypass w/o AMI or complex PDXNRNRNR
65721Postoperative and Post-Traumatic Infections$7,570$4,542$2,044
66817OverdoseNRNRNR
67755Neuroses Other Than DepressionNRNRNR
68171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$24,774$14,865$6,689
70163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
71284Disorders of gallbladder & biliary tractNRNRNR
72182Other Peripheral Vascular ProceduresNRNRNR
73542Vaginal Delivery with Proc Except Sterilization$21,493$12,896$5,803
74197Peripheral and Other Vascular DisordersNRNRNR
75199Hypertension$26,278$15,767$7,095

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 2021 - March 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)$6,225$3,735$1,681$7,157$4,294$1,932
Cataract Surgery with Intraocular Lens - Stage 1 66984)$9,802$5,881$2,647NRNRNR
Colonoscopy and Biopsy 45380)$6,244$3,746$1,686$7,133$4,280$1,926
Upper GI Endoscopy with Biopsy 43239)$6,132$3,679$1,656$6,811$4,086$1,839
Diagnostic Colonoscopy 45378)$5,638$3,383$1,522$6,326$3,796$1,708
Injection into Lumbar or Sacral Area, Single Level 64483)$5,125$3,075$1,384$5,397$3,238$1,457
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,604$3,363$1,513NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,521$3,312$1,491NRNRNR
Total Knee Arthroscopy 27447)$25,522$15,313$6,891$28,005$16,803$7,561
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$4,943$2,966$1,335$5,350$3,210$1,444
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$5,884$3,531$1,589$4,951$2,971$1,337
Carpal Tunnel Surgery 64721)$6,309$3,785$1,703$6,663$3,998$1,799
TOTAL HIP ARTHROPLASTY 27130)$30,787$18,472$8,313NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,714$3,428$1,543$6,120$3,672$1,652
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$5,041$3,025$1,361
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,082$7,249$3,262$13,090$7,854$3,534
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)$5,151$3,091$1,391$5,056$3,033$1,365
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,855$3,513$1,581$6,327$3,796$1,708
Cystourethroscopy with Lithotripsy and Stent 52356)$15,847$9,508$4,279$19,548$11,729$5,278
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$18,073$10,844$4,880
Laparoscopic Cholecystectomy 47562)$14,692$8,815$3,967$20,152$12,091$5,441
Cataract Surgery- Complex 66982)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$10,424$6,255$2,815$9,442$5,665$2,549
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$5,041$3,024$1,361NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$15,263$9,158$4,121$18,034$10,820$4,869
Creation of Eardrum Opening 69436)$8,057$4,834$2,175$9,168$5,501$2,475
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNR$4,748$2,849$1,282
Incision of Finger Tendon Sheath 26055)$5,655$3,393$1,527$6,519$3,911$1,760
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$19,091$11,455$5,155$20,293$12,176$5,479
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,745$3,447$1,551NRNRNR
Laparoscopic Appendectomy 44970)$23,491$14,095$6,343$24,469$14,681$6,607
Laparoscopy - Removal of Adnexal Structures 58661)$14,501$8,700$3,915$16,884$10,130$4,559
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,438$6,263$2,818$12,222$7,333$3,300
Mastectomy, Partial 19301)$12,305$7,383$3,322$20,202$12,121$5,454
Cystourethroscopy with Stent 52332)$7,809$4,686$2,109$13,600$8,160$3,672
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$5,880$3,528$1,588NRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$16,578$9,947$4,476$21,260$12,756$5,740
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,993$7,196$3,238$17,308$10,385$4,673
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNR$12,063$7,238$3,257
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,639$7,583$3,413$19,389$11,633$5,235
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
RECONSTRUCT SHOULDER JOINT 23472)$32,833$19,700$8,865NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$23,124$13,875$6,244$25,259$15,155$6,820
Removal of Tonsils 42826)$13,041$7,825$3,521NRNRNR
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,708$8,825$3,971$16,165$9,699$4,365
Decompression of Ulnar Nerve at Elbow 64718)$8,894$5,336$2,401NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
BREAST REDUCTION 19318)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
COMPRE EP EVAL ABLTJ ATR FIB 93656)NRNRNRNRNRNR
LAM FACETEC & FORAMOT LUMBAR 63047)NRNRNRNRNRNR
Repair of wrist joints 25447)$13,534$8,120$3,654$12,987$7,792$3,507
Debridement Skin/Tissue 11042)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)$2,544$1,526$687NRNRNR
RESECT INFERIOR TURBINATE 30140)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$8,869$5,321$2,394$8,755$5,253$2,364
Biopsy of Prostate 55700)$10,519$6,311$2,840NRNRNR
Hysteroscopy with Ablation 58563)$11,370$6,822$3,070$11,544$6,926$3,117
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.