Stoughton Hospital Association
900 Ridge Street
Stoughton, WI 53589
608-873-6611
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2018 - December 2018
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/Septicemia$15,420$8,789$5,551
4194Heart Failure$11,354$6,472$4,088
5540Cesarean DeliveryNRNRNR
6751PsychosesNRNRNR
7302Knee Replacement$36,054$20,551$12,980
8301Hip Replacement$40,657$23,174$14,636
9139Pneumonia$6,815$3,884$2,453
10753Bipolar DisordersNRNRNR
11201Heart Abnormal Rhythm and Conduction Disorders$7,311$4,167$2,632
12775Alcohol Abuse/Dependence$5,950$3,391$2,142
13140Chronic Obstructive Pulmonary DiseaseNRNRNR
14133Respiratory failureNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$17,625$10,046$6,345
16469Acute Kidney InjuryNRNRNR
17383Cellulitis & other skin infections$5,873$3,348$2,114
18463Kidney/Urinary Tract Infection$15,173$8,649$5,462
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21420Diabetes$4,436$2,529$1,597
22282Disorders of Pancreas Except Malignancy$11,644$6,637$4,192
23247Intestinal Obstruction without Surgery$5,485$3,127$1,975
24308Hip & femur fracture repair$25,886$14,755$9,319
25175Percutaneous coronary intervention w/o AMINRNRNR
26754Depression$4,833$2,755$1,740
27231Major large bowel procedures$37,139$21,169$13,370
28053SeizureNRNRNR
29254Other Digestive System Diagnoses$6,448$3,675$2,321
30190Circulatory Disorders with Heart Attack$8,652$4,932$3,115
31137Respiratory Infections and Inflammations$33,622$19,165$12,104
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
33058Other Disorders of Nervous SystemNRNRNR
34263Laparoscopic Cholecystectomy$17,690$10,083$6,368
35192Cardiac catheterization for other non-coronary conditionsNRNRNR
36244Diverticulitis & Diverticulosis$6,176$3,520$2,223
37134Pulmonary Embolism$13,314$7,589$4,793
38466Malfunction, reaction, complic of genitourinary device or procNRNRNR
39249Other gastroenteritis, nausea & vomiting$4,375$2,494$1,575
40113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
41241Peptic Ulcer/Gastritis$5,707$3,253$2,054
42773Opioid Abuse/DependenceNRNRNR
43710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
44861Signs & Symptoms$13,938$7,944$5,018
45230Major small bowel procedures$40,026$22,815$14,409
46347Other Back/Neck Disorders, Fractures, Injuries$12,525$7,139$4,509
47024Extracranial Vascular ProceduresNRNRNR
48253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
49313Other Knee/Lower Leg Surgery$7,170$4,087$2,581
50862Other Factors Influencing Health Status$12,726$7,254$4,581
51181Lower Extremity Arterial ProceduresNRNRNR
52248Major G.I. Bacterial Infections$13,933$7,942$5,016
53812Poisoning of Medicinal AgentsNRNRNR
54351Other Musculoskeletal System and Connective Tissue Diagnoses$5,207$2,968$1,874
55426Non-hypovolemic sodium disorders$8,173$4,659$2,942
56663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
57021Craniotomy Except For TraumaNRNRNR
58315Shoulder, upper arm & forearm procedures except joint replacement$29,979$17,088$10,792
59052Nontraumatic stupor & coma$9,199$5,243$3,312
60721Postoperative and Post-Traumatic InfectionsNRNRNR
61166Coronary bypass w/o AMI or complex PDXNRNRNR
62566Other Antepartum DiagnosesNRNRNR
63055Head trauma w coma >1 hr or hemorrhage$3,778$2,154$1,360
64755Neuroses Other Than DepressionNRNRNR
65143Other respiratory diagnoses except signs, symptoms & minor diagnoses$3,221$1,836$1,159
66141Asthma$9,695$5,526$3,490
67321Upper Spinal FusionNRNRNR
68197Peripheral and Other Vascular DisordersNRNRNR
69199Hypertension$10,555$6,016$3,800
70322Shoulder & Elbow Joint Replacement$41,421$23,610$14,911
71696Other ChemotherapyNRNRNR
72284Disorders of gallbladder & biliary tract$2,768$1,578$996
73171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
74660Major hematologic/immunologic diag exc sickle cell crisis & coagulNRNRNR
75425Other Electrolyte DisordersNRNRNR

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 2018 - December 2018

 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)$10,723$6,112$3,860$10,955$6,245$3,944
Colonoscopy and Biopsy 45380)$4,916$2,802$1,770$5,928$3,379$2,134
Lesion Removal Colonoscopy by Snare Technique 45385)$4,640$2,645$1,670$5,564$3,172$2,003
Upper GI Endoscopy with Biopsy 43239)$5,123$2,920$1,844$6,053$3,450$2,179
Diagnostic Colonoscopy 45378)$3,073$1,752$1,106NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$1,761$1,004$634$2,758$1,572$993
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,074$1,752$1,106$3,274$1,866$1,178
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,060$1,744$1,102NRNRNR
Carpal Tunnel Surgery 64721)$5,588$3,185$2,012$5,599$3,192$2,016
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,039$1,732$1,094$4,957$2,825$1,784
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$9,788$5,579$3,524$22,514$12,833$8,105
Drain/Inject Major Joint or Bursa 20610)NRNRNR$10,646$6,068$3,833
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$5,324$3,035$1,917NRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$4,536$2,585$1,633
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$13,670$7,792$4,921$31,791$18,121$11,445
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,931$2,811$1,775$6,458$3,681$2,325
Arthroscopic Rotator Cuff Repair 29827)$19,808$11,290$7,131$18,947$10,800$6,821
Total Knee Arthroscopy 27447)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$10,667$6,080$3,840NRNRNR
Cataract Surgery- Complex 66982)$10,998$6,269$3,959$11,003$6,272$3,961
Cystourethroscopy with Lithotripsy and Stent 52356)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,074$2,322$1,467NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$6,906$3,936$2,486$8,372$4,772$3,014
Laparoscopic Hernia Repair - Initial 49650)$12,935$7,373$4,657$13,023$7,423$4,688
Incision of Finger Tendon Sheath 26055)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,282$4,721$2,982$14,360$8,185$5,169
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$7,085$4,039$2,551NRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNR$9,904$5,645$3,565
Mastectomy, Partial 19301)$12,047$6,867$4,337$17,008$9,695$6,123
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$21,620$12,323$7,783$20,939$11,935$7,538
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$12,824$7,309$4,616NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$9,230$5,261$3,323NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Removal of Tonsils 42826)$8,993$5,126$3,237$10,498$5,984$3,779
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$10,007$5,704$3,603NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$19,729$11,246$7,102$21,469$12,237$7,729
Fragmenting of Kidney Stone 50590)$7,471$4,259$2,690NRNRNR
Repair of Nasal Septum 30520)$9,485$5,406$3,415$11,308$6,446$4,071
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$7,277$4,148$2,620$6,937$3,954$2,497
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$13,414$7,646$4,829
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$8,891$5,068$3,201NRNRNR
Hysteroscopy with Ablation 58563)$10,222$5,826$3,680NRNRNR
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$7,859$4,480$2,829
Repair of wrist joints 25447)$16,825$9,590$6,057NRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNR$10,934$6,232$3,936
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$11,026$6,285$3,969NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$14,832$8,454$5,339
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Repair of Hammertoe 28285)$6,164$3,513$2,219NRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
REMOVAL OF TURBINATE BONES 30140)NRNRNR$11,681$6,658$4,205
Information about quality and safety of care for Stoughton Hospital Association may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.