St Croix Regional Medical Center
235 State Street
St Croix Falls, WI 54024
715-483-3261
 
PPS Rule Machine Readable Transparency File Download Hospital Charges

WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  April 2019 - March 2020
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$1,989$1,452$974
2560Vaginal Delivery$7,457$5,443$3,654
3720Blood Infection/Septicemia$9,925$7,245$4,863
4194Heart Failure$12,723$9,288$6,234
5751PsychosesNRNRNR
6540Cesarean Delivery$13,513$9,864$6,621
7301Hip Replacement$38,355$27,999$18,794
8302Knee Replacement$27,284$19,917$13,369
9139Pneumonia$8,601$6,279$4,215
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$9,562$6,980$4,685
12201Heart Abnormal Rhythm and Conduction Disorders$6,039$4,408$2,959
13133Respiratory failureNRNRNR
14045Stroke and Precerebral Occlusion with Infarct$22,498$16,424$11,024
15140Chronic Obstructive Pulmonary Disease$8,942$6,527$4,381
16469Acute Kidney Injury$8,185$5,975$4,011
17463Kidney/Urinary Tract Infection$8,295$6,055$4,065
18383Cellulitis & other skin infections$19,884$14,516$9,743
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21420Diabetes$12,733$9,295$6,239
22247Intestinal Obstruction without Surgery$11,805$8,617$5,784
23282Disorders of Pancreas Except Malignancy$11,136$8,129$5,457
24308Hip & femur fracture repairNRNRNR
25231Major large bowel procedures$40,380$29,477$19,786
26190Circulatory Disorders with Heart Attack$5,584$4,076$2,736
27175Percutaneous coronary intervention w/o AMINRNRNR
28058Other Disorders of Nervous SystemNRNRNR
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$56,193$41,021$27,534
30754DepressionNRNRNR
31254Other Digestive System Diagnoses$10,781$7,870$5,282
32466Malfunction, reaction, complic of genitourinary device or procNRNRNR
33137Respiratory Infections and InflammationsNRNRNR
34053Seizure$10,655$7,778$5,221
35192Cardiac catheterization for other non-coronary conditionsNRNRNR
36134Pulmonary EmbolismNRNRNR
37710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
38241Peptic Ulcer/Gastritis$15,583$11,376$7,636
39244Diverticulitis & Diverticulosis$11,889$8,679$5,826
40322Shoulder & Elbow Joint Replacement$39,330$28,711$19,272
41263Laparoscopic Cholecystectomy$13,558$9,897$6,643
42249Other gastroenteritis, nausea & vomiting$12,888$9,408$6,315
43773Opioid Abuse/DependenceNRNRNR
44862Other Factors Influencing Health Status$29,672$21,660$14,539
45230Major small bowel proceduresNRNRNR
46313Other Knee/Lower Leg Surgery$24,968$18,226$12,234
47347Other Back/Neck Disorders, Fractures, Injuries$8,822$6,440$4,323
48861Signs & SymptomsNRNRNR
49253Other and Unspecified Gastrointestinal Hemorrhage$6,581$4,804$3,225
50426Non-hypovolemic sodium disorders$9,206$6,720$4,511
51052Nontraumatic stupor & comaNRNRNR
52113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,028$6,590$4,423
53351Other Musculoskeletal System and Connective Tissue Diagnoses$9,487$6,926$4,649
54248Major G.I. Bacterial InfectionsNRNRNR
55566Other Antepartum Diagnoses$10,084$7,361$4,941
56024Extracranial Vascular ProceduresNRNRNR
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,315$6,800$4,564
58021Craniotomy Except For TraumaNRNRNR
59055Head trauma w coma >1 hr or hemorrhageNRNRNR
60755Neuroses Other Than DepressionNRNRNR
61166Coronary bypass w/o AMI or complex PDXNRNRNR
62721Postoperative and Post-Traumatic InfectionsNRNRNR
63182Other Peripheral Vascular ProceduresNRNRNR
64812Poisoning of Medicinal Agents$4,909$3,583$2,405
65181Lower Extremity Arterial ProceduresNRNRNR
66143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
67171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
68280Alcoholic Liver DiseaseNRNRNR
69321Upper Spinal FusionNRNRNR
70425Other Electrolyte DisordersNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
72197Peripheral and Other Vascular Disorders$11,450$8,358$5,610
73284Disorders of gallbladder & biliary tractNRNRNR
74696Other ChemotherapyNRNRNR
75042Degenerative nervous system disorders exc mult sclerosisNRNRNR

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 2019 - March 2020

 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)$5,559$4,058$2,724$13,207$9,641$6,472
Colonoscopy and Biopsy 45380)$4,252$3,104$2,083$4,573$3,338$2,241
Lesion Removal Colonoscopy by Snare Technique 45385)$4,263$3,112$2,089$8,831$6,447$4,327
Upper GI Endoscopy with Biopsy 43239)$3,825$2,792$1,874$5,021$3,665$2,460
Diagnostic Colonoscopy 45378)$3,406$2,487$1,669$4,533$3,309$2,221
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)$3,514$2,565$1,722NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,514$2,566$1,722NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Carpal Tunnel Surgery 64721)$2,369$1,729$1,161$4,050$2,956$1,984
Uppr GI Endoscopy- Diagnostic 43235)$2,830$2,066$1,386$4,463$3,258$2,187
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$4,784$3,492$2,344$5,600$4,088$2,744
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$3,351$2,446$1,642$8,456$6,173$4,144
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,543$3,317$2,226$6,990$5,103$3,425
Laparoscopic Cholecystectomy 47562)$8,284$6,048$4,059$10,804$7,887$5,294
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$11,028$8,050$5,404
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$9,674$7,062$4,740$12,749$9,306$6,247
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$8,662$6,324$4,245$10,289$7,511$5,042
Cataract Surgery- Complex 66982)$5,893$4,302$2,888$13,512$9,864$6,621
Removal of Tonsils And Adenoids - < Age 12 42820)$5,407$3,947$2,649$9,771$7,133$4,788
Laparoscopic Hernia Repair - Initial 49650)$15,151$11,060$7,424$16,331$11,921$8,002
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$2,293$1,674$1,124$3,922$2,863$1,922
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$4,154$3,032$2,035$4,333$3,163$2,123
Laparoscopy - Removal of Adnexal Structures 58661)$8,112$5,922$3,975$12,190$8,899$5,973
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$11,626$8,487$5,697$14,602$10,660$7,155
Unlisted Cystourethoscopy 52000)$2,980$2,175$1,460NRNRNR
Mastectomy, Partial 19301)$4,284$3,127$2,099$14,822$10,820$7,263
Cystourethroscopy with Stent 52332)$4,491$3,278$2,200$7,868$5,743$3,855
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,091$5,176$3,475$10,337$7,546$5,065
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)$5,818$4,247$2,851NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$8,233$6,010$4,034$12,285$8,968$6,020
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$4,100$2,993$2,009NRNRNR
Removal of Tonsils 42826)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNR$12,559$9,168$6,154
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$18,677$13,634$9,152
Fragmenting of Kidney Stone 50590)$11,995$8,756$5,878NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$5,004$3,653$2,452$19,880$14,512$9,741
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$4,591$3,352$2,250NRNRNR
Removal of Adenoids 42830)$5,523$4,032$2,706$7,139$5,212$3,498
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$8,510$6,212$4,170
ESOPHAGUS MOTILITY STUDY 91010)$2,021$1,476$990$3,645$2,661$1,786
Hysteroscopy with Ablation 58563)$11,607$8,473$5,687$19,041$13,900$9,330
Repair of wrist joints 25447)NRNRNRNRNRNR
Implant Neuroelectrodes 63650)$12,477$9,108$6,114$69,271$50,568$33,943
Repair of upper eyelid with excessive skin 15823)$5,939$4,335$2,910$7,277$5,312$3,566
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNR$8,333$6,083$4,083
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNR$13,257$9,677$6,496
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)$15,208$11,102$7,452$11,402$8,324$5,587
REMOVAL OF TURBINATE BONES 30140)$5,913$4,316$2,897$7,441$5,432$3,646
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$6,947$5,071$3,404
Information about quality and safety of care for St Croix Regional Medical Center may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.