Marshfield Medical Center – Beaver Dam
707 South University Avenue
Beaver Dam, WI 53916
920-887-7181
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2020 - December 2020
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,022$1,173$384
2560Vaginal Delivery$11,568$6,710$2,198
3720Blood Infection/Septicemia$19,887$11,534$3,779
4137Respiratory Infections and Inflammations$19,484$11,301$3,702
5194Heart Failure$20,081$11,647$3,815
6751PsychosesNRNRNR
7540Cesarean Delivery$26,348$15,282$5,006
8753Bipolar DisordersNRNRNR
9775Alcohol Abuse/Dependence$7,275$4,220$1,382
10139Pneumonia$15,829$9,181$3,007
11045Stroke and Precerebral Occlusion with Infarct$33,586$19,480$6,381
12201Heart Abnormal Rhythm and Conduction Disorders$17,439$10,115$3,313
13301Hip Replacement$59,258$34,370$11,259
14133Respiratory failureNRNRNR
15469Acute kidney injury$23,354$13,546$4,437
16302Knee Replacement$34,687$20,118$6,590
17174Percutaneous coronary intervention w AMINRNRNR
18463Kidney/Urinary Tract Infection$18,556$10,762$3,526
19420DiabetesNRNRNR
20750SchizophreniaNRNRNR
21383Cellulitis & other skin infections$16,983$9,850$3,227
22140Chronic Obstructive Pulmonary Disease$12,267$7,115$2,331
23282Disorders of Pancreas Except Malignancy$20,233$11,735$3,844
24308Hip & femur fracture repair$37,744$21,892$7,171
25247Intestinal Obstruction without Surgery$17,228$9,992$3,273
26710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
27231Major large bowel procedures$54,288$31,487$10,315
28058Other Disorders of Nervous SystemNRNRNR
29466Malfunction, reaction, complic of genitourinary device or procNRNRNR
30190Circulatory Disorders with Heart Attack$22,406$12,995$4,257
31134Pulmonary Embolism$20,177$11,703$3,834
32254Other Digestive System Diagnoses$21,094$12,235$4,008
33241Peptic Ulcer/Gastritis$11,090$6,432$2,107
34754DepressionNRNRNR
35304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
36053Seizure$24,509$14,215$4,657
37192Cardiac catheterization for other non-coronary conditionsNRNRNR
38263Cholecystectomy$30,028$17,416$5,705
39244Diverticulitis & Diverticulosis$16,843$9,769$3,200
40322Shoulder & elbow joint replacement$98,108$56,903$18,641
41862Other Factors Influencing Health StatusNRNRNR
42175Percutaneous coronary intervention w/o AMINRNRNR
43426Non-hypovolemic sodium disorders$15,636$9,069$2,971
44230Major small bowel procedures$55,018$31,910$10,453
45773Opioid Abuse/DependenceNRNRNR
46249Other gastroenteritis, nausea & vomiting$18,796$10,902$3,571
47861Signs & SymptomsNRNRNR
48313Other Knee/Lower Leg Surgery$45,558$26,424$8,656
49566Other Antepartum Diagnoses$10,928$6,338$2,076
50539Cesarean delivery with sterlization$24,374$14,137$4,631
51052Alteration in consciousnessNRNRNR
52182Other peripheral vascular proceduresNRNRNR
53253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
54347Other Back/Neck Disorders, Fractures, Injuries$20,234$11,736$3,845
55663Red Blood Cell Disorders Except Sickle Cell Anemia CrisisNRNRNR
56055Head trauma w coma >1 hr or hemorrhageNRNRNR
57280Alcoholic Liver DiseaseNRNRNR
58248Major G.I. Bacterial InfectionsNRNRNR
59351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
60021Craniotomy Except For TraumaNRNRNR
61183Percutaneous structural cardiac proceduresNRNRNR
62721Postoperative and Post-Traumatic Infections$15,592$9,043$2,962
63817Overdose$15,006$8,703$2,851
64755Neuroses Other Than DepressionNRNRNR
65166Coronary bypass w/o AMI or complex PDXNRNRNR
66425Other non-hypovolemic electrolyte disordersNRNRNR
67326Elective knee joint replacement$34,453$19,983$6,546
68143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
69284Disorders of gallbladder & biliary tract$14,579$8,456$2,770
70542Vaginal Delivery with Proc Except Sterilization$11,057$6,413$2,101
71130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
72171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
73042Degenerative nervous system disorders exc mult sclerosis$25,602$14,849$4,864
74321Upper Spinal FusionNRNRNR
75113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR

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 2020 - December 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)$9,210$5,342$1,750$17,474$10,135$3,320
Lesion Removal Colonoscopy by Snare Technique 45385)$4,672$2,709$888$5,263$3,052$1,000
Colonoscopy and Biopsy 45380)$4,902$2,843$931$6,618$3,839$1,257
Upper GI Endoscopy with Biopsy 43239)$4,427$2,568$841$6,023$3,493$1,144
Diagnostic Colonoscopy 45378)$3,811$2,210$724$5,299$3,073$1,007
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)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,788$2,197$720$6,923$4,015$1,315
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,811$2,210$724$5,046$2,927$959
Carpal Tunnel Surgery 64721)$6,844$3,970$1,300$16,255$9,428$3,088
Total Knee Arthroscopy 27447)NRNRNR$47,363$27,471$8,999
Uppr GI Endoscopy- Diagnostic 43235)$3,416$1,981$649$5,591$3,243$1,062
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$10,459$6,066$1,987$10,218$5,927$1,941
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$16,226$9,411$3,083NRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$11,974$6,945$2,275
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$4,644$2,694$882$5,654$3,279$1,074
Laparoscopic Cholecystectomy 47562)$23,644$13,714$4,492$29,258$16,969$5,559
Hysteroscopy with Biopsy 58558)$11,271$6,537$2,141$25,464$14,769$4,838
Laparoscopic Hernia Repair - Initial 49650)$22,934$13,302$4,357$26,687$15,478$5,070
Cataract Surgery- Complex 66982)$10,671$6,189$2,028NRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,914$4,010$1,314$9,606$5,571$1,825
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$6,753$3,917$1,283$8,404$4,874$1,597
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,352$2,524$827$5,250$3,045$997
Removal of Tonsils And Adenoids - < Age 12 42820)$9,138$5,300$1,736NRNRNR
Laparoscopic Appendectomy 44970)$22,422$13,005$4,260$22,890$13,276$4,349
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,295$21,051$6,896NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$17,473$10,134$3,320$22,384$12,982$4,253
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,734$6,225$2,039$22,913$13,289$4,353
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Mastectomy, Partial 19301)$11,074$6,423$2,104$31,234$18,116$5,934
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNR$9,725$5,640$1,848
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$17,228$9,993$3,273$21,176$12,282$4,023
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,246$7,103$2,327NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$10,205$5,919$1,939NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Removal of Tonsils 42826)$10,737$6,227$2,040NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$12,605$7,311$2,395$16,672$9,669$3,168
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$20,984$12,171$3,987$81,509$47,275$15,487
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$33,626$19,503$6,389
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,467$7,811$2,559$20,016$11,609$3,803
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$23,698$13,745$4,503
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$50,804$29,466$9,653
Repair of wrist joints 25447)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNR$5,780$3,352$1,098
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$28,453$16,503$5,406$30,516$17,699$5,798
ESOPHAGUS MOTILITY STUDY 91010)$1,093$634$208NRNRNR
REDUCTION OF LARGE BREAST 19318)NRNRNRNRNRNR
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
REPAIR DETACHED RETINA 67108)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$11,538$6,692$2,192$24,490$14,204$4,653
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$20,753$12,037$3,943$27,823$16,138$5,286
CYSTOURETHROSCOPY W/FULG; MEDIUM TUMOR 52235)NRNRNRNRNRNR
Information about quality and safety of care for Marshfield Medical Center – Beaver Dam may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.