Watertown Regional Medical Center
125 Hospital Drive
Watertown, WI 53098
920-261-4210
 
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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+$4,155$2,659$956
2560Vaginal Delivery$14,346$9,181$3,300
3720Blood Infection/Septicemia$11,840$7,578$2,723
4194Heart Failure$9,671$6,189$2,224
5540Cesarean Delivery$26,585$17,015$6,115
6751PsychosesNRNRNR
7302Knee Replacement$51,569$33,004$11,861
8301Hip Replacement$55,299$35,391$12,719
9139Pneumonia$11,075$7,088$2,547
10753Bipolar DisordersNRNRNR
11201Heart Abnormal Rhythm and Conduction Disorders$21,083$13,493$4,849
12775Alcohol Abuse/Dependence$13,557$8,677$3,118
13140Chronic Obstructive Pulmonary Disease$14,977$9,585$3,445
14133Respiratory failureNRNRNR
15045Stroke and Precerebral Occlusion with Infarct$16,120$10,317$3,708
16469Acute Kidney InjuryNRNRNR
17383Cellulitis & other skin infections$9,715$6,218$2,235
18463Kidney/Urinary Tract Infection$12,020$7,693$2,765
19174Percutaneous coronary intervention w AMI$54,057$34,596$12,433
20750SchizophreniaNRNRNR
21420Diabetes$12,460$7,974$2,866
22282Disorders of Pancreas Except Malignancy$20,618$13,195$4,742
23247Intestinal Obstruction without Surgery$16,052$10,273$3,692
24308Hip & femur fracture repair$36,959$23,654$8,501
25175Percutaneous coronary intervention w/o AMI$72,517$46,411$16,679
26754DepressionNRNRNR
27231Major large bowel procedures$35,768$22,892$8,227
28053SeizureNRNRNR
29254Other Digestive System Diagnoses$28,059$17,958$6,454
30190Circulatory Disorders with Heart Attack$28,752$18,401$6,613
31137Respiratory Infections and InflammationsNRNRNR
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$87,315$55,882$20,082
33058Other Disorders of Nervous SystemNRNRNR
34263Laparoscopic Cholecystectomy$46,707$29,893$10,743
35192Cardiac catheterization for other non-coronary conditions$55,117$35,275$12,677
36244Diverticulitis & Diverticulosis$18,433$11,797$4,240
37134Pulmonary Embolism$14,921$9,549$3,432
38466Malfunction, reaction, complic of genitourinary device or procNRNRNR
39249Other gastroenteritis, nausea & vomiting$17,911$11,463$4,120
40113Epiglottitis, Ear Infection, URI and Laryngotracheitis$15,929$10,195$3,664
41241Peptic Ulcer/GastritisNRNRNR
42773Opioid Abuse/DependenceNRNRNR
43710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
44861Signs & Symptoms$5,094$3,260$1,172
45230Major small bowel procedures$35,562$22,760$8,179
46347Other Back/Neck Disorders, Fractures, Injuries$19,701$12,609$4,531
47024Extracranial Vascular Procedures$27,031$17,300$6,217
48253Other and Unspecified Gastrointestinal Hemorrhage$17,637$11,288$4,056
49313Other Knee/Lower Leg Surgery$31,983$20,469$7,356
50862Other Factors Influencing Health Status$10,785$6,903$2,481
51181Lower Extremity Arterial ProceduresNRNRNR
52248Major G.I. Bacterial Infections$21,151$13,537$4,865
53812Poisoning of Medicinal Agents$12,719$8,140$2,925
54351Other Musculoskeletal System and Connective Tissue Diagnoses$19,801$12,673$4,554
55426Non-hypovolemic sodium disorders$12,736$8,151$2,929
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$21,431$13,716$4,929
57021Craniotomy Except For TraumaNRNRNR
58315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
59052Nontraumatic stupor & comaNRNRNR
60721Postoperative and Post-Traumatic InfectionsNRNRNR
61166Coronary bypass w/o AMI or complex PDXNRNRNR
62566Other Antepartum DiagnosesNRNRNR
63055Head trauma w coma >1 hr or hemorrhageNRNRNR
64755Neuroses Other Than DepressionNRNRNR
65143Other respiratory diagnoses except signs, symptoms & minor diagnoses$25,105$16,067$5,774
66141Asthma$18,029$11,539$4,147
67321Upper Spinal FusionNRNRNR
68197Peripheral and Other Vascular DisordersNRNRNR
69199Hypertension$23,023$14,735$5,295
70322Shoulder & Elbow Joint Replacement$65,747$42,078$15,122
71696Other ChemotherapyNRNRNR
72284Disorders of gallbladder & biliary tract$43,899$28,095$10,097
73171Pacemaker Implant without Heart Attack, Heart Failure or Shock$51,855$33,187$11,927
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)$10,213$6,536$2,349$12,747$8,158$2,932
Colonoscopy and Biopsy 45380)$6,396$4,094$1,471$7,337$4,696$1,688
Lesion Removal Colonoscopy by Snare Technique 45385)$6,671$4,269$1,534$7,489$4,793$1,722
Upper GI Endoscopy with Biopsy 43239)$5,466$3,498$1,257$7,123$4,559$1,638
Diagnostic Colonoscopy 45378)$5,478$3,506$1,260$6,728$4,306$1,547
Injection into Lumbar or Sacral Area, Single Level 64483)$4,001$2,561$920$5,601$3,585$1,288
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)$3,932$2,516$904$4,152$2,658$955
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)$2,534$1,622$583$3,936$2,519$905
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,880$3,763$1,352NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,346$3,421$1,230NRNRNR
Carpal Tunnel Surgery 64721)$7,048$4,511$1,621$17,377$11,122$3,997
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNR$12,372$7,918$2,846
Uppr GI Endoscopy- Diagnostic 43235)$4,882$3,124$1,123$6,478$4,146$1,490
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$15,151$9,696$3,485$24,388$15,609$5,609
Drain/Inject Major Joint or Bursa 20610)$1,372$878$316$1,951$1,249$449
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)$3,932$2,516$904NRNRNR
Creation of Eardrum Opening 69436)$5,976$3,825$1,375$5,787$3,704$1,331
Left Heart Artery/Ventricle Angiography 93458)$23,731$15,188$5,458$29,663$18,984$6,822
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,912$3,783$1,360NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)$2,367$1,515$545$4,282$2,741$985
Laparoscopic Cholecystectomy 47562)$30,261$19,367$6,960$38,584$24,694$8,874
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,817$3,723$1,338$6,669$4,268$1,534
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$34,906$22,340$8,028
Total Knee Arthroscopy 27447)$50,948$32,607$11,718$48,020$30,733$11,045
Hysteroscopy with Biopsy 58558)$12,618$8,076$2,902$22,764$14,569$5,236
Cataract Surgery- Complex 66982)$11,555$7,395$2,658$12,239$7,833$2,815
Cystourethroscopy with Lithotripsy and Stent 52356)$16,529$10,579$3,802$15,999$10,239$3,680
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$8,938$5,720$2,056$11,624$7,439$2,673
Laparoscopic Hernia Repair - Initial 49650)$23,359$14,950$5,373$22,774$14,575$5,238
Incision of Finger Tendon Sheath 26055)$4,796$3,070$1,103$7,409$4,742$1,704
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,204$8,450$3,037$17,645$11,293$4,058
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNR$6,523$4,175$1,500
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$6,417$4,107$1,476$9,439$6,041$2,171
Cystourethroscopy with Stent 52332)$12,286$7,863$2,826$14,551$9,312$3,347
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$17,803$11,394$4,095$19,257$12,325$4,429
ABD Paracentesis w/Imaging 49083)$3,486$2,231$802NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$19,307$12,356$4,441$29,320$18,765$6,744
Mastectomy, Partial 19301)$12,162$7,784$2,797$20,925$13,392$4,813
Laparoscopy, Removal of Tubes & Ovaries 58571)$28,957$18,533$6,660$31,617$20,235$7,272
Laparoscopic Appendectomy 44970)$31,974$20,463$7,354$33,516$21,450$7,709
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$26,726$17,105$6,147$30,417$19,467$6,996
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$15,128$9,682$3,479NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$15,564$9,961$3,580$16,373$10,478$3,766
Removal of Tonsils 42826)$10,355$6,627$2,382NRNRNR
Low Back Disk Surgery 63030)NRNRNR$24,344$15,580$5,599
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,773$7,534$2,708$17,117$10,955$3,937
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$3,409$2,182$784$9,493$6,075$2,183
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$37,094$23,740$8,532
Fragmenting of Kidney Stone 50590)$22,296$14,270$5,128$23,502$15,041$5,405
Repair of Nasal Septum 30520)$13,657$8,740$3,141$22,402$14,337$5,152
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,847$3,742$1,345$11,693$7,484$2,689
Debridement Skin/Tissue 11042)$7,617$4,875$1,752$8,620$5,517$1,983
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$24,501$15,681$5,635
Right and Left Heart Artery/Ventricle Angiography 93460)$26,310$16,838$6,051$28,493$18,235$6,553
Decompression of Ulnar Nerve at Elbow 64718)$15,697$10,046$3,610$15,388$9,848$3,539
Hysteroscopy with Ablation 58563)$12,673$8,111$2,915$22,329$14,291$5,136
Implant Neuroelectrodes 63650)$18,079$11,570$4,158$18,735$11,990$4,309
Removal of Adenoids 42830)$8,661$5,543$1,992$8,953$5,730$2,059
Repair of wrist joints 25447)$22,698$14,527$5,221$21,011$13,447$4,833
Upper GI Endoscopy w Removal of Foreign Body 43247)$10,642$6,811$2,448$7,372$4,718$1,696
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$22,022$14,094$5,065$26,107$16,709$6,005
Shoulder Arthroscopy/Surgery 29824)NRNRNR$32,484$20,789$7,471
Repair of upper eyelid with excessive skin 15823)$8,979$5,747$2,065$11,745$7,517$2,701
REMOVAL OF SPINAL LAMINA 63047)$25,448$16,287$5,853$28,523$18,255$6,560
Repair of Hammertoe 28285)$12,092$7,739$2,781$18,051$11,553$4,152
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNRNRNRNR
Correction of Bunion 28296)$12,965$8,298$2,982$18,090$11,578$4,161
REMOVAL OF TURBINATE BONES 30140)NRNRNR$21,694$13,884$4,990
Information about quality and safety of care for Watertown Regional Medical Center may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.