St Joseph's Community Hospital of West Bend, Inc
3200 Pleasant Valley Road
West Bend, WI 53095
262-334-5533

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,928$2,632$903
2560Vaginal Delivery$11,691$7,833$2,689
3720Blood Infection/Septicemia$24,373$16,330$5,606
4302Knee Replacement$50,763$34,011$11,675
5540Cesarean Delivery$16,917$11,334$3,891
6194Heart Failure$13,617$9,123$3,132
7301Hip Replacement$50,814$34,045$11,687
8139Pneumonia$18,395$12,325$4,231
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$15,213$10,193$3,499
12201Heart Abnormal Rhythm and Conduction Disorders$8,473$5,677$1,949
13775Alcohol Abuse/Dependence$18,435$12,351$4,240
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$11,760$7,879$2,705
16045Stroke and Precerebral Occlusion with Infarct$16,252$10,889$3,738
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel Procedures$54,129$36,266$12,450
19463Kidney/Urinary Tract Infection$16,334$10,944$3,757
20174Angioplasty with Heart AttackNRNRNR
21860RehabilitationNRNRNR
22247Intestinal Obstruction without Surgery$14,953$10,019$3,439
23750SchizophreniaNRNRNR
24282Disorders of Pancreas Except Malignancy$19,048$12,762$4,381
25420DiabetesNRNRNR
26754DepressionNRNRNR
27254Other Digestive System Diagnoses$17,548$11,757$4,036
28249Gastroenteritis$21,375$14,321$4,916
29812Poisoning of Medicinal Agents$9,388$6,290$2,159
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$95,236$63,808$21,904
31137Respiratory Infections and Inflammations$26,280$17,608$6,044
32053Seizure$15,962$10,695$3,671
33173Other Vascular Procedures$33,103$22,179$7,614
34134Pulmonary Embolism$13,189$8,837$3,033
35190Circulatory Disorders with Heart Attack$6,672$4,470$1,535
36308Hip/Thigh Surgery with Trauma Diagnosis$39,370$26,378$9,055
37263Laparoscopic Cholecystectomy$40,985$27,460$9,427
38244Diverticulitis & Diverticulosis$18,790$12,589$4,322
39315Shoulder/Upper Arm, Forearm Surgery$62,280$41,728$14,324
40175Angioplasty without Heart AttackNRNRNR
41425Other Electrolyte Disorders$9,030$6,050$2,077
42861Signs & SymptomsNRNRNR
43241Peptic Ulcer/Gastritis$13,001$8,711$2,990
44773Opioid Abuse/DependenceNRNRNR
45710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$15,961$10,694$3,671
47253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
48313Other Knee/Lower Leg Surgery$30,474$20,418$7,009
49351Other Musculoskeletal System and Connective Tissue Diagnoses$10,582$7,090$2,434
50248Major G.I. Bacterial Infections$19,746$13,230$4,542
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$23,417$15,689$5,386
53466Malfunction, reaction, complic of genitourinary device or procNRNRNR
54024Extracranial Vascular Procedures$33,173$22,226$7,630
55693ChemotherapyNRNRNR
56141Asthma$8,607$5,767$1,980
57321Upper Spinal Fusion$44,326$29,698$10,195
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59197Peripheral and Other Vascular Disorders$7,016$4,701$1,614
60058Other Disorders of Nervous SystemNRNRNR
61021Craniotomy Except For TraumaNRNRNR
62225Appendectomy$31,663$21,214$7,282
63566Other Antepartum Diagnoses$9,053$6,066$2,082
64144Respiratory System Signs, Symptoms and Minor Diagnoses$23,458$15,717$5,395
65163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
66055Head trauma w coma >1 hr or hemorrhageNRNRNR
67755Neuroses Other Than DepressionNRNRNR
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$9,616$6,443$2,212
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,311$7,578$2,602
71052Nontraumatic stupor & comaNRNRNR
72204Fainting and Collapse$11,523$7,720$2,650
73422Hypovolemia$9,132$6,118$2,100
74639Neonate Birthwt >2499g with Other Significant Condition$14,361$9,622$3,303
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$29,431$19,719$6,769

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 2015 - December 2015
 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)$8,055$5,397$1,853$8,882$5,951$2,043
Colonoscopy and Biopsy 45380)$5,175$3,467$1,190$6,597$4,420$1,517
Upper GI Endoscopy with Biopsy 43239)$4,495$3,012$1,034$5,795$3,883$1,333
Lesion Removal Colonoscopy by Snare Technique 45385)$5,268$3,529$1,212$6,726$4,506$1,547
Diagnostic Colonoscopy 45378)$4,845$3,246$1,114$6,306$4,225$1,450
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,611$3,089$1,060NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,329$2,901$996NRNRNR
Carpal Tunnel Surgery 64721)$8,477$5,679$1,950$9,911$6,640$2,280
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,414$9,658$3,315$16,575$11,105$3,812
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,302$2,882$989$6,816$4,567$1,568
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)NRNRNR$12,837$8,601$2,952
Unlisted Dental Surgery Procedure 41899)$10,832$7,257$2,491$15,502$10,386$3,565
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$18,599$12,461$4,278$22,310$14,948$5,131
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$8,556$5,732$1,968NRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$27,801$18,627$6,394
Hysteroscopy with Biopsy 58558)$10,646$7,133$2,449$19,083$12,786$4,389
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,321$9,595$3,294$16,362$10,963$3,763
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,252$3,519$1,208$5,753$3,855$1,323
Unlisted Cystourethoscopy 52000)$6,126$4,104$1,409NRNRNR
Incision of Finger Tendon Sheath 26055)$7,942$5,321$1,827NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$21,649$14,505$4,979$22,473$15,057$5,169
Laparoscopic Hernia Repair - Initial 49650)$20,371$13,648$4,685$27,986$18,751$6,437
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,096$8,775$3,012$16,983$11,379$3,906
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,071$14,787$5,076$25,599$17,151$5,888
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$15,196$10,182$3,495$21,377$14,323$4,917
Uppr GI Endoscopy with Guide Wire 43248)$4,605$3,086$1,059NRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$21,005$14,073$4,831$27,307$18,296$6,281
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$10,435$6,991$2,400$13,067$8,755$3,005
Removal of Tonsils 42826)$11,454$7,674$2,634$16,336$10,945$3,757
Repair of Nasal Septum 30520)$13,820$9,260$3,179$15,146$10,148$3,484
Low Back Disk Surgery 63030)$19,563$13,107$4,499NRNRNR
Fragmenting of Kidney Stone 50590)$12,340$8,268$2,838$15,519$10,398$3,569
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$30,280$20,288$6,965
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,592$10,447$3,586$17,000$11,390$3,910
Mastectomy, Partial 19301)$16,554$11,091$3,808$30,363$20,343$6,984
Laparoscopy - Removal of Adnexal Structures 58661)$20,365$13,645$4,684$19,911$13,340$4,579
Debridement Skin/Tissue 11042)$13,376$8,962$3,076$6,606$4,426$1,519
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNR$30,802$20,637$7,085
Remove Impacted Ear Wax 69210)$7,225$4,840$1,662$10,934$7,326$2,515
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$15,599$10,451$3,588$19,613$13,141$4,511
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$20,427$13,686$4,698
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$12,811$8,583$2,947
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNR$23,480$15,732$5,400
Repair of Hammertoe 28285)$10,742$7,197$2,471NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$7,567$5,070$1,740NRNRNR
Information about quality and safety of care for St Joseph's Community Hospital of West Bend, Inc may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.