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:   July 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,066$2,684$895
2560Vaginal Delivery$12,772$8,430$2,810
3720Blood Infection/Septicemia$15,682$10,350$3,450
4302Knee Replacement$50,146$33,096$11,032
5194Heart Failure$12,795$8,445$2,815
6540Cesarean Delivery$18,624$12,292$4,097
7301Hip Replacement$50,780$33,515$11,172
8751PsychosesNRNRNR
9139Pneumonia$14,364$9,480$3,160
10140Chronic Obstructive Pulmonary Disease$15,748$10,394$3,465
11753Bipolar DisordersNRNRNR
12201Heart Abnormal Rhythm and Conduction Disorders$14,927$9,852$3,284
13775Alcohol Abuse/Dependence$16,127$10,644$3,548
14383Cellulitis & other skin infections$12,052$7,954$2,651
15045Stroke and Precerebral Occlusion with Infarct$20,131$13,286$4,429
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$11,525$7,607$2,536
18221Major Bowel Procedures$63,255$41,748$13,916
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21420Diabetes$8,446$5,574$1,858
22469Acute Kidney InjuryNRNRNR
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$26,014$17,169$5,723
25247Intestinal Obstruction without Surgery$20,760$13,702$4,567
26254Other Digestive System Diagnoses$18,863$12,450$4,150
27812Poisoning of Medicinal Agents$12,063$7,962$2,654
28308Hip & femur fracture repair$42,494$28,046$9,349
29710Infectious & parasitic diseases including HIV w O.R. procedure$32,493$21,445$7,148
30773Opioid Abuse/DependenceNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32190Circulatory Disorders with Heart Attack$10,905$7,197$2,399
33053SeizureNRNRNR
34175Percutaneous coronary intervention w/o AMINRNRNR
35249Other gastroenteritis, nausea & vomiting$16,996$11,217$3,739
36058Other Disorders of Nervous System$12,369$8,164$2,721
37137Respiratory Infections and Inflammations$24,785$16,358$5,453
38134Pulmonary Embolism$26,168$17,271$5,757
39263Laparoscopic Cholecystectomy$38,468$25,389$8,463
40244Diverticulitis & Diverticulosis$22,353$14,753$4,918
41192Cardiac catheterization for other non-coronary conditionsNRNRNR
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$21,028$13,878$4,626
44253Other and Unspecified Gastrointestinal Hemorrhage$62,163$41,028$13,676
45241Peptic Ulcer/Gastritis$12,105$7,989$2,663
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg Surgery$31,301$20,659$6,886
48425Other Electrolyte Disorders$13,483$8,899$2,966
49315Shoulder, upper arm & forearm procedures except joint replacement$24,670$16,282$5,427
50248Major G.I. Bacterial Infections$23,393$15,439$5,146
51351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
52951Moderately Extensive Procedure Unrelated to Diagnosis$36,470$24,070$8,023
53024Extracranial Vascular Procedures$39,612$26,144$8,715
54113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,545$8,940$2,980
57862Other Factors Influencing Health StatusNRNRNR
58321Upper Spinal Fusion$36,354$23,994$7,998
59566Other Antepartum Diagnoses$10,002$6,601$2,200
60055Head trauma w coma >1 hr or hemorrhageNRNRNR
61422HypovolemiaNRNRNR
62166Coronary bypass w/o AMI or complex PDXNRNRNR
63197Peripheral and Other Vascular Disorders$14,398$9,503$3,168
64181Lower Extremity Arterial ProceduresNRNRNR
65052Nontraumatic stupor & coma$19,985$13,190$4,397
66141Asthma$19,150$12,639$4,213
67460Renal FailureNRNRNR
68755Neuroses Other Than DepressionNRNRNR
69225Appendectomy$31,685$20,912$6,971
70721Postoperative and Post-Traumatic InfectionsNRNRNR
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$27,242$17,980$5,993
72144Respiratory System Signs, Symptoms and Minor Diagnoses$16,001$10,561$3,520
73163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
74204Fainting and Collapse$15,190$10,025$3,342
75639Neonate Birthwt >2499g with Other Significant Condition$15,646$10,326$3,442

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 2016 - June 2017

 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)$8,291$5,472$1,824$12,982$8,568$2,856
Colonoscopy and Biopsy (45380)$5,513$3,639$1,213$6,739$4,448$1,483
Lesion Removal Colonoscopy by Snare Technique (45385)$5,570$3,677$1,226$6,796$4,485$1,495
Upper GI Endoscopy with Biopsy (43239)$5,229$3,451$1,150$6,577$4,341$1,447
Diagnostic Colonoscopy (45378)$5,007$3,305$1,102$6,339$4,184$1,395
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)$4,881$3,222$1,074NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,812$3,176$1,059NRNRNR
Carpal Tunnel Surgery (64721)$8,587$5,667$1,889$8,736$5,766$1,922
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$15,743$10,390$3,463$17,254$11,387$3,796
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$4,575$3,020$1,007$6,321$4,172$1,391
Creation of Eardrum Opening (69436)$7,587$5,008$1,669$13,262$8,753$2,918
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$6,658$4,394$1,465$6,328$4,176$1,392
Left Heart Artery/Ventricle Angiography (93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)$11,284$7,447$2,482$16,287$10,749$3,583
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNRNRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$20,534$13,553$4,518$23,971$15,821$5,274
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$5,658$3,735$1,245$6,200$4,092$1,364
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$8,756$5,779$1,926NRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$11,882$7,842$2,614$12,668$8,361$2,787
Arthroscopic Rotator Cuff Repair (29827)$32,784$21,638$7,213$31,502$20,791$6,930
Hysteroscopy with Biopsy (58558)$13,133$8,668$2,889$17,212$11,360$3,787
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)$8,935$5,897$1,966$13,366$8,822$2,941
Cystourethroscopy with Lithotripsy and Stent (52356)$22,165$14,629$4,876$23,925$15,790$5,263
Incision of Finger Tendon Sheath (26055)$9,359$6,177$2,059$10,448$6,896$2,299
Laparoscopic Hernia Repair - Initial (49650)$22,116$14,597$4,866$23,643$15,605$5,202
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$15,352$10,133$3,378$21,258$14,030$4,677
Unlisted Cystourethoscopy (52000)$6,545$4,319$1,440$9,801$6,468$2,156
Uppr GI Endoscopy with Guide Wire (43248)$4,585$3,026$1,009$6,887$4,546$1,515
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$13,195$8,709$2,903$21,794$14,384$4,795
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$15,043$9,928$3,309$15,577$10,281$3,427
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$21,845$14,418$4,806$30,867$20,372$6,791
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$9,770$6,448$2,149$16,179$10,678$3,559
Laparoscopy - Removal of Adnexal Structures (58661)$19,652$12,970$4,323$22,378$14,769$4,923
Mastectomy, Partial (19301)$19,270$12,718$4,239$29,580$19,522$6,507
Debridement Skin/Tissue (11042)$17,079$11,272$3,757NRNRNR
Laparoscopic Appendectomy (44970)$24,941$16,461$5,487$31,108$20,531$6,844
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$17,773$11,730$3,910$29,002$19,142$6,381
Laparoscopy, Removal of Tubes & Ovaries (58571)$33,620$22,189$7,396NRNRNR
Removal of Tonsils (42826)$12,333$8,140$2,713$14,207$9,377$3,126
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNR$35,100$23,166$7,722
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Repair of Nasal Septum (30520)NRNRNR$19,739$13,028$4,343
Fragmenting of Kidney Stone (50590)$14,202$9,373$3,124$16,075$10,610$3,537
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$17,456$11,521$3,840$17,311$11,425$3,808
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)$12,643$8,344$2,781$10,621$7,010$2,337
Correction of Bunion (28296)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)$9,393$6,199$2,066NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)NRNRNR$23,523$15,525$5,175
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)NRNRNRNRNRNR
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)NRNRNRNRNRNR
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.