Hayward Area Memorial Hospital
11040 N State Road 77
Hayward, WI 54843
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  October 2018 - September 2019
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,208$3,914$1,683
2560Vaginal Delivery$8,348$7,763$3,339
3720Blood Infection/Septicemia$11,991$11,152$4,797
4194Heart Failure$2,783$2,588$1,113
5540Cesarean Delivery$17,978$16,719$7,191
7301Hip Replacement$30,216$28,101$12,086
8302Knee Replacement$32,969$30,662$13,188
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$10,071$9,366$4,028
12201Heart Abnormal Rhythm and Conduction Disorders$11,376$10,580$4,550
13133Respiratory failureNRNRNR
14140Chronic Obstructive Pulmonary Disease$9,083$8,447$3,633
15045Stroke and Precerebral Occlusion with Infarct$2,753$2,561$1,101
16469Acute Kidney InjuryNRNRNR
17463Kidney/Urinary Tract Infection$10,219$9,504$4,088
18383Cellulitis & other skin infections$15,026$13,974$6,011
19174Percutaneous coronary intervention w AMINRNRNR
22282Disorders of Pancreas Except Malignancy$9,777$9,092$3,911
23175Percutaneous coronary intervention w/o AMINRNRNR
24247Intestinal Obstruction without Surgery$5,677$5,280$2,271
25308Hip & femur fracture repair$31,210$29,025$12,484
26190Circulatory Disorders with Heart AttackNRNRNR
27231Major large bowel procedures$40,638$37,793$16,255
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29254Other Digestive System Diagnoses$3,479$3,236$1,392
32137Respiratory Infections and InflammationsNRNRNR
33058Other Disorders of Nervous SystemNRNRNR
34134Pulmonary Embolism$6,600$6,138$2,640
35192Cardiac catheterization for other non-coronary conditionsNRNRNR
36466Malfunction, reaction, complic of genitourinary device or procNRNRNR
37263Laparoscopic Cholecystectomy$23,367$21,731$9,347
38244Diverticulitis & Diverticulosis$7,554$7,025$3,022
39241Peptic Ulcer/Gastritis$10,374$9,648$4,150
40710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
41249Other gastroenteritis, nausea & vomiting$5,892$5,480$2,357
42322Shoulder & Elbow Joint Replacement$38,003$35,343$15,201
43773Opioid Abuse/DependenceNRNRNR
44024Extracranial Vascular ProceduresNRNRNR
45313Other Knee/Lower Leg SurgeryNRNRNR
46862Other Factors Influencing Health StatusNRNRNR
47230Major small bowel proceduresNRNRNR
48347Other Back/Neck Disorders, Fractures, Injuries$13,597$12,645$5,439
49861Signs & Symptoms$12,250$11,392$4,900
50253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
51181Lower Extremity Arterial ProceduresNRNRNR
52021Craniotomy Except For TraumaNRNRNR
53351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
54426Non-hypovolemic sodium disordersNRNRNR
55812Poisoning of Medicinal AgentsNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,070$14,015$6,028
57248Major G.I. Bacterial InfectionsNRNRNR
58052Nontraumatic stupor & comaNRNRNR
59055Head trauma w coma >1 hr or hemorrhageNRNRNR
60166Coronary bypass w/o AMI or complex PDXNRNRNR
61755Neuroses Other Than DepressionNRNRNR
62113Epiglottitis, Ear Infection, URI and Laryngotracheitis$11,015$10,244$4,406
63721Postoperative and Post-Traumatic InfectionsNRNRNR
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$33,358$31,023$13,343
65566Other Antepartum DiagnosesNRNRNR
66163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
67321Upper Spinal FusionNRNRNR
68197Peripheral and Other Vascular Disorders$4,257$3,959$1,703
69696Other ChemotherapyNRNRNR
70171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
72425Other Electrolyte Disorders$4,703$4,373$1,881
74042Degenerative nervous system disorders exc mult sclerosisNRNRNR
75280Alcoholic Liver DiseaseNRNRNR

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:  October 2018 - September 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)$10,383$9,657$4,153$12,765$11,872$5,106
Colonoscopy and Biopsy 45380)$4,147$3,857$1,659$8,215$7,640$3,286
Lesion Removal Colonoscopy by Snare Technique 45385)$5,197$4,833$2,079$12,050$11,206$4,820
Upper GI Endoscopy with Biopsy 43239)$4,749$4,416$1,899$8,077$7,511$3,231
Diagnostic Colonoscopy 45378)$3,496$3,252$1,399NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,476$3,232$1,390NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,491$3,247$1,396$4,879$4,537$1,951
Carpal Tunnel Surgery 64721)$4,644$4,319$1,857$10,466$9,733$4,186
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$15,971$14,853$6,389
Uppr GI Endoscopy- Diagnostic 43235)$3,731$3,470$1,492$6,714$6,244$2,686
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,830$11,002$4,732$14,497$13,483$5,799
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$2,822$2,624$1,129NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$16,516$15,360$6,606$24,837$23,098$9,935
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,568$4,248$1,827NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$26,342$24,498$10,537
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$12,044$11,201$4,818$17,922$16,668$7,169
Cystourethroscopy with Lithotripsy and Stent 52356)$13,577$12,627$5,431$15,360$14,285$6,144
Hysteroscopy with Biopsy 58558)$9,891$9,199$3,957NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$10,503$9,768$4,201NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$18,111$16,843$7,244$23,327$21,694$9,331
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$7,640$7,105$3,056NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNR$11,474$10,670$4,589
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$8,454$7,862$3,382
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,876$9,185$3,950$10,625$9,881$4,250
Laparoscopy - Removal of Adnexal Structures 58661)$15,436$14,356$6,174$21,913$20,379$8,765
ABD Paracentesis w/Imaging 49083)$7,330$6,816$2,932NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$26,121$24,292$10,448$32,882$30,580$13,153
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,460$11,588$4,984$15,714$14,614$6,285
Laparoscopic Appendectomy 44970)$23,893$22,220$9,557$22,627$21,043$9,051
Mastectomy, Partial 19301)$10,659$9,913$4,263$22,075$20,530$8,830
Cystourethroscopy with Stent 52332)$10,867$10,107$4,347NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,620$20,106$8,648NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,097$12,180$5,239$13,784$12,819$5,513
Wrist Endoscopy/Surgery 29848)$4,457$4,145$1,783NRNRNR
Removal of Tonsils 42826)$11,263$10,475$4,505NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,638$10,824$4,655$15,823$14,716$6,329
Debridement Skin/Tissue 11042)$8,789$8,174$3,516$11,407$10,608$4,563
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$20,880$19,419$8,352
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$10,294$9,573$4,118NRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$17,442$16,221$6,977NRNRNR
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$5,822$5,414$2,329$5,699$5,300$2,279
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$12,898$11,995$5,159
Repair of Hammertoe 28285)NRNRNRNRNRNR
Information about quality and safety of care for Hayward Area Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.