ProHealth Oconomowoc Memorial Hospital
791 Summit Avenue
Oconomowoc, WI 53066
262-569-9400
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2018 - June 2019
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,600$2,714$782
2560Vaginal Delivery$14,814$8,740$2,518
3720Blood Infection/Septicemia$13,692$8,079$2,328
4194Heart Failure$18,398$10,855$3,128
5540Cesarean Delivery$22,268$13,138$3,786
6751PsychosesNRNRNR
7301Hip Replacement$53,699$31,682$9,129
8302Knee Replacement$59,352$35,018$10,090
9139Pneumonia$14,073$8,303$2,392
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$8,297$4,895$1,410
12201Heart Abnormal Rhythm and Conduction Disorders$13,941$8,225$2,370
13133Respiratory failureNRNRNR
14140Chronic Obstructive Pulmonary Disease$24,269$14,319$4,126
15469Acute Kidney Injury$35,050$20,680$5,959
16045Stroke and Precerebral Occlusion with Infarct$32,552$19,206$5,534
17463Kidney/Urinary Tract Infection$103,200$60,888$17,544
18383Cellulitis & other skin infections$11,831$6,980$2,011
19750SchizophreniaNRNRNR
20174Percutaneous coronary intervention w AMI$52,786$31,144$8,974
21420Diabetes$12,400$7,316$2,108
22282Disorders of Pancreas Except Malignancy$23,556$13,898$4,005
23247Intestinal Obstruction without Surgery$15,944$9,407$2,710
24175Percutaneous coronary intervention w/o AMI$56,986$33,622$9,688
25308Hip & femur fracture repair$51,305$30,270$8,722
26190Circulatory Disorders with Heart Attack$29,624$17,478$5,036
27231Major large bowel procedures$45,028$26,567$7,655
28254Other Digestive System Diagnoses$15,603$9,206$2,653
29053SeizureNRNRNR
30754DepressionNRNRNR
31137Respiratory Infections and Inflammations$12,749$7,522$2,167
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
33058Other Disorders of Nervous System$46,371$27,359$7,883
34134Pulmonary Embolism$31,120$18,361$5,290
35192Cardiac catheterization for other non-coronary conditions$35,205$20,771$5,985
36466Malfunction, reaction, complic of genitourinary device or procNRNRNR
37263Laparoscopic Cholecystectomy$57,161$33,725$9,717
38244Diverticulitis & Diverticulosis$18,232$10,757$3,100
39249Other gastroenteritis, nausea & vomiting$19,644$11,590$3,339
40241Peptic Ulcer/Gastritis$18,173$10,722$3,089
41710Infectious & parasitic diseases including HIV w O.R. procedure$23,585$13,915$4,009
42773Opioid Abuse/Dependence$22,866$13,491$3,887
43230Major small bowel proceduresNRNRNR
44347Other Back/Neck Disorders, Fractures, Injuries$12,870$7,593$2,188
45322Shoulder & Elbow Joint Replacement$76,974$45,414$13,086
46861Signs & Symptoms$10,071$5,942$1,712
47313Other Knee/Lower Leg Surgery$55,532$32,764$9,440
48024Extracranial Vascular ProceduresNRNRNR
49862Other Factors Influencing Health StatusNRNRNR
50253Other and Unspecified Gastrointestinal Hemorrhage$12,231$7,216$2,079
51181Lower Extremity Arterial ProceduresNRNRNR
52021Craniotomy Except For TraumaNRNRNR
53351Other Musculoskeletal System and Connective Tissue Diagnoses$19,940$11,764$3,390
54426Non-hypovolemic sodium disorders$16,813$9,920$2,858
55812Poisoning of Medicinal Agents$9,829$5,799$1,671
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$20,661$12,190$3,512
57248Major G.I. Bacterial Infections$17,709$10,448$3,011
58052Nontraumatic stupor & coma$29,661$17,500$5,042
59055Head trauma w coma >1 hr or hemorrhage$16,252$9,588$2,763
60113Epiglottitis, Ear Infection, URI and Laryngotracheitis$5,325$3,142$905
61166Coronary bypass w/o AMI or complex PDXNRNRNR
62721Postoperative and Post-Traumatic Infections$31,545$18,612$5,363
63755Neuroses Other Than DepressionNRNRNR
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$19,249$11,357$3,272
65566Other Antepartum Diagnoses$14,387$8,488$2,446
66141Asthma$9,570$5,646$1,627
67696Other ChemotherapyNRNRNR
68199Hypertension$18,274$10,781$3,107
69321Upper Spinal Fusion$20,942$12,356$3,560
70171Pacemaker Implant without Heart Attack, Heart Failure or Shock$58,497$34,513$9,945
71197Peripheral and Other Vascular DisordersNRNRNR
72425Other Electrolyte Disorders$16,003$9,441$2,720
73284Disorders of gallbladder & biliary tractNRNRNR
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75541Vaginal Delivery with Sterilization$26,621$15,707$4,526

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 2018 - June 2019

 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)$11,647$6,872$1,980$21,721$12,816$3,693
Colonoscopy and Biopsy 45380)$7,678$4,530$1,305$12,133$7,158$2,063
Lesion Removal Colonoscopy by Snare Technique 45385)$7,538$4,447$1,281$9,421$5,559$1,602
Upper GI Endoscopy with Biopsy 43239)$7,223$4,261$1,228$10,560$6,230$1,795
Diagnostic Colonoscopy 45378)$6,207$3,662$1,055$9,211$5,435$1,566
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)NRNRNR$12,504$7,377$2,126
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$6,263$3,695$1,065NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,122$3,612$1,041NRNRNR
Carpal Tunnel Surgery 64721)$10,140$5,983$1,724$10,973$6,474$1,865
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,740$3,386$976$7,173$4,232$1,219
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,720$8,685$2,502NRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$7,911$4,668$1,345$8,133$4,798$1,383
Left Heart Artery/Ventricle Angiography 93458)NRNRNR$27,830$16,420$4,731
Unlisted Dental Surgery Procedure 41899)$17,367$10,246$2,952$20,275$11,962$3,447
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,938$4,684$1,350NRNRNR
Laparoscopic Cholecystectomy 47562)$27,604$16,286$4,693$25,081$14,798$4,264
Esophageal Endoscopy with Dilation 43249)$9,848$5,810$1,674$12,996$7,667$2,209
Total Knee Arthroscopy 27447)$56,390$33,270$9,586$57,566$33,964$9,786
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$28,859$17,027$4,906NRNRNR
Cataract Surgery- Complex 66982)$12,460$7,352$2,118NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$21,905$12,924$3,724$20,225$11,933$3,438
Hysteroscopy with Biopsy 58558)$18,227$10,754$3,099$20,441$12,060$3,475
Removal of Tonsils And Adenoids - < Age 12 42820)$13,377$7,892$2,274NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$6,674$3,938$1,135$9,118$5,380$1,550
Laparoscopic Hernia Repair - Initial 49650)$26,738$15,775$4,545$27,124$16,003$4,611
Incision of Finger Tendon Sheath 26055)$10,204$6,020$1,735NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$20,367$12,017$3,462NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,415$16,175$4,660$31,740$18,726$5,396
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNR$44,416$26,205$7,551
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$19,542$11,530$3,322$19,755$11,655$3,358
Mastectomy, Partial 19301)$15,349$9,056$2,609$27,249$16,077$4,632
Cystourethroscopy with Stent 52332)$13,836$8,163$2,352$11,686$6,895$1,987
Laparoscopic Appendectomy 44970)$29,579$17,452$5,029$34,014$20,068$5,782
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$28,151$16,609$4,786$29,632$17,483$5,037
Unlisted Cystourethoscopy 52000)$17,912$10,568$3,045$10,758$6,347$1,829
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$16,170$9,540$2,749NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNR$17,765$10,481$3,020
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils 42826)$14,423$8,510$2,452NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,303$9,029$2,602$17,673$10,427$3,004
Fragmenting of Kidney Stone 50590)$17,293$10,203$2,940$20,864$12,310$3,547
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$35,975$21,225$6,116$46,087$27,192$7,835
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$23,299$13,747$3,961$20,413$12,044$3,470
Decompression of Ulnar Nerve at Elbow 64718)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNRNRNRNR
Removal of Adenoids 42830)$10,593$6,250$1,801NRNRNR
Hysteroscopy with Ablation 58563)$21,175$12,493$3,600$27,864$16,440$4,737
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Implant Neuroelectrodes 63650)$114,603$67,616$19,483NRNRNR
Repair of wrist joints 25447)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$20,007$11,804$3,401$26,395$15,573$4,487
Upper GI Endoscopy w Removal of Foreign Body 43247)$9,449$5,575$1,606$12,453$7,347$2,117
Repair of Hammertoe 28285)$9,633$5,684$1,638$16,859$9,947$2,866
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$16,903$9,973$2,874
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$41,851$24,692$7,115NRNRNR
REMOVAL OF TURBINATE BONES 30140)NRNRNRNRNRNR
REDUCTION OF LARGE BREAST 19318)$43,882$25,890$7,460$58,592$34,569$9,961
Information about quality and safety of care for ProHealth Oconomowoc Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.