Spooner Health
1280 Chandler Drive
Spooner, WI 54801
715-635-2111
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2021 - June 2022
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+NRNRNR
2560Vaginal DeliveryNRNRNR
3720Blood Infection/SepticemiaNRNRNR
4137Respiratory Infections and InflammationsNRNRNR
5194Heart Failure$6,151$5,351$2,460
6751PsychosesNRNRNR
7540Cesarean DeliveryNRNRNR
8775Alcohol Abuse/DependenceNRNRNR
9753Bipolar DisordersNRNRNR
10045Stroke and Precerebral Occlusion with InfarctNRNRNR
11201Heart Abnormal Rhythm and Conduction DisordersNRNRNR
12139Pneumonia$2,697$2,346$1,079
13133Respiratory failureNRNRNR
14469Acute Kidney Injury$4,734$4,118$1,893
15463Kidney/Urinary Tract InfectionNRNRNR
16174Percutaneous coronary intervention w AMINRNRNR
17420DiabetesNRNRNR
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$9,294$8,086$3,718
20140Chronic Obstructive Pulmonary Disease$12,041$10,476$4,816
21308Hip & femur fracture repairNRNRNR
22247Intestinal Obstruction without Surgery$16,655$14,490$6,662
23282Disorders of Pancreas Except Malignancy$29,086$25,304$11,634
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel proceduresNRNRNR
26466Malfunction, reaction, complic of genitourinary device or procNRNRNR
27190Circulatory Disorders with Heart Attack$2,485$2,162$994
28754DepressionNRNRNR
29058Other Disorders of Nervous SystemNRNRNR
30254Other Digestive System DiagnosesNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32326Elective knee joint replacementNRNRNR
33053SeizureNRNRNR
34192Cardiac catheterization for other non-coronary conditionsNRNRNR
35134Pulmonary Embolism$7,590$6,603$3,036
36241Peptic Ulcer/GastritisNRNRNR
37323Non-elective or complex hip joint replacementNRNRNR
38175Percutaneous coronary intervention w/o AMINRNRNR
39244Diverticulitis & DiverticulosisNRNRNR
40263Laparoscopic CholecystectomyNRNRNR
41230Major small bowel proceduresNRNRNR
42426Non-hypovolemic sodium disorders$5,458$4,748$2,183
43862Other Factors Influencing Health Status$1,673$1,455$669
44249Other gastroenteritis, nausea & vomitingNRNRNR
45861Signs & Symptoms$2,935$2,553$1,174
46324Elective hip joint replacementNRNRNR
47183Percutaneous structural cardiac proceduresNRNRNR
48347Other Back/Neck Disorders, Fractures, Injuries$6,044$5,258$2,418
49052Nontraumatic stupor & comaNRNRNR
50773Opioid Abuse/DependenceNRNRNR
51253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
52021Craniotomy Except For TraumaNRNRNR
53539Cesarean delivery with sterlizationNRNRNR
54566Other Antepartum DiagnosesNRNRNR
55351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$7,359$6,402$2,943
57055Head trauma w coma >1 hr or hemorrhageNRNRNR
58313Other Knee/Lower Leg SurgeryNRNRNR
59280Alcoholic Liver DiseaseNRNRNR
60403Surgical Procedures for ObesityNRNRNR
61130Respiratory System DX w/ Vent Support 96+ HrsNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63425Other Electrolyte DisordersNRNRNR
64755Neuroses Other Than DepressionNRNRNR
65721Postoperative and Post-Traumatic Infections$38,244$33,272$15,297
66248Major G.I. Bacterial InfectionsNRNRNR
67817OverdoseNRNRNR
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,640$10,126$4,656
69542Vaginal Delivery with Proc Except SterilizationNRNRNR
70171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
71182Other Peripheral Vascular ProceduresNRNRNR
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73284Disorders of gallbladder & biliary tractNRNRNR
74030Percutaneous intracranial and extracranial vascular proceduresNRNRNR
75626Normal Newborn Birthweight 2000g - 2499gNRNRNR

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:  July 2021 - June 2022

 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*
Lesion Removal Colonoscopy by Snare Technique 45385)$4,984$4,336$1,994$7,421$6,456$2,968
Cataract Surgery with Intraocular Lens - Stage 1 66984)$5,701$4,960$2,280$11,183$9,729$4,473
Colonoscopy and Biopsy 45380)$4,506$3,920$1,802$8,120$7,065$3,248
Upper GI Endoscopy with Biopsy 43239)$5,071$4,412$2,028$8,877$7,723$3,551
Diagnostic Colonoscopy 45378)$3,471$3,020$1,388NRNRNR
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,900$3,393$1,560NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$3,574$3,109$1,430NRNRNR
Total Knee Arthroscopy 27447)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
Carpal Tunnel Surgery 64721)$3,495$3,040$1,398NRNRNR
TOTAL HIP ARTHROPLASTY 27130)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,000$2,610$1,200$6,881$5,986$2,752
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$16,662$14,496$6,665NRNRNR
Creation of Eardrum Opening 69436)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$3,715$3,232$1,486NRNRNR
Laparoscopic Cholecystectomy 47562)$13,917$12,107$5,567NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$6,277$5,461$2,511$6,959$6,055$2,784
Laparoscopic Hernia Repair - Initial 49650)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
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)NRNRNR$4,858$4,226$1,943
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$5,798$5,044$2,319
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$15,384$13,384$6,154$18,438$16,041$7,375
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)NRNRNRNRNRNR
Mastectomy, Partial 19301)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$9,926$8,636$3,970NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$13,640$11,867$5,456NRNRNR
RECONSTRUCT SHOULDER JOINT 23472)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,146$9,697$4,458NRNRNR
Removal of Tonsils 42826)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
BREAST REDUCTION 19318)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
LAM FACETEC & FORAMOT LUMBAR 63047)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
COMPRE EP EVAL ABLTJ ATR FIB 93656)NRNRNRNRNRNR
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)$5,569$4,845$2,228NRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
RESECT INFERIOR TURBINATE 30140)NRNRNRNRNRNR
Biopsy of Prostate 55700)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)NRNRNRNRNRNR
Information about quality and safety of care for Spooner Health may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.