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:   October 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,115$2,716$905
2560Vaginal Delivery$12,816$8,459$2,820
3720Blood Infection/Septicemia$17,113$11,295$3,765
4302Knee Replacement$50,317$33,209$11,070
5194Heart Failure$12,770$8,428$2,809
6540Cesarean Delivery$18,571$12,257$4,086
7301Hip Replacement$51,361$33,898$11,299
8751PsychosesNRNRNR
9140Chronic Obstructive Pulmonary Disease$15,748$10,394$3,465
10139Pneumonia$14,903$9,836$3,279
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$16,127$10,644$3,548
13201Heart Abnormal Rhythm and Conduction Disorders$15,282$10,086$3,362
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$13,337$8,802$2,934
16045Stroke and Precerebral Occlusion with Infarct$21,187$13,983$4,661
17469Acute Kidney InjuryNRNRNR
18463Kidney/Urinary Tract Infection$16,723$11,037$3,679
19221Major Bowel Procedures$65,187$43,023$14,341
20174Percutaneous coronary intervention w AMINRNRNR
21750SchizophreniaNRNRNR
22420Diabetes$8,446$5,574$1,858
23754DepressionNRNRNR
24282Disorders of Pancreas Except Malignancy$26,363$17,400$5,800
25247Intestinal Obstruction without Surgery$19,721$13,016$4,339
26812Poisoning of Medicinal Agents$11,854$7,824$2,608
27254Other Digestive System Diagnoses$22,920$15,127$5,042
28308Hip & femur fracture repair$54,713$36,111$12,037
29710Infectious & parasitic diseases including HIV w O.R. procedure$32,493$21,445$7,148
30190Circulatory Disorders with Heart Attack$9,056$5,977$1,992
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
32053SeizureNRNRNR
33773Opioid Abuse/DependenceNRNRNR
34175Percutaneous coronary intervention w/o AMINRNRNR
35058Other Disorders of Nervous System$17,958$11,852$3,951
36249Other gastroenteritis, nausea & vomiting$18,566$12,254$4,085
37137Respiratory Infections and Inflammations$16,533$10,912$3,637
38134Pulmonary Embolism$24,881$16,421$5,474
39192Cardiac catheterization for other non-coronary conditionsNRNRNR
40263Laparoscopic Cholecystectomy$41,971$27,701$9,234
41244Diverticulitis & Diverticulosis$21,332$14,079$4,693
42861Signs & SymptomsNRNRNR
43241Peptic Ulcer/Gastritis$12,105$7,989$2,663
44253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
45466Malfunction, reaction, complic of genitourinary device or procNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$20,687$13,653$4,551
47313Other Knee/Lower Leg Surgery$38,751$25,576$8,525
48425Other Electrolyte Disorders$13,483$8,899$2,966
49181Lower Extremity Arterial ProceduresNRNRNR
50951Moderately Extensive Procedure Unrelated to Diagnosis$36,470$24,070$8,023
51248Major G.I. Bacterial Infections$22,277$14,703$4,901
52024Extracranial Vascular Procedures$43,070$28,426$9,475
53351Other Musculoskeletal System and Connective Tissue Diagnoses$12,701$8,383$2,794
54315Shoulder, upper arm & forearm procedures except joint replacement$39,266$25,916$8,639
55021Craniotomy Except For TraumaNRNRNR
56113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,610$9,643$3,214
58166Coronary bypass w/o AMI or complex PDXNRNRNR
59321Upper Spinal Fusion$36,354$23,994$7,998
60862Other Factors Influencing Health StatusNRNRNR
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62197Peripheral and Other Vascular Disorders$14,398$9,503$3,168
63566Other Antepartum Diagnoses$11,651$7,690$2,563
64422Hypovolemia$18,888$12,466$4,155
65052Nontraumatic stupor & coma$20,637$13,620$4,540
66141Asthma$19,150$12,639$4,213
67755Neuroses Other Than DepressionNRNRNR
68721Postoperative and Post-Traumatic InfectionsNRNRNR
69225Appendectomy$32,479$21,436$7,145
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$27,242$17,980$5,993
71144Respiratory System Signs, Symptoms and Minor Diagnoses$18,535$12,233$4,078
72163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
73204Fainting and Collapse$15,190$10,025$3,342
74199HypertensionNRNRNR
75696Other ChemotherapyNRNRNR

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:  October 2016 - September 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)$8,306$5,482$1,827$13,274$8,761$2,920
Colonoscopy and Biopsy (45380)$5,669$3,742$1,247$6,895$4,551$1,517
Lesion Removal Colonoscopy by Snare Technique (45385)$6,136$4,050$1,350$7,002$4,621$1,540
Upper GI Endoscopy with Biopsy (43239)$5,244$3,461$1,154$6,695$4,418$1,473
Diagnostic Colonoscopy (45378)$5,175$3,416$1,139$8,802$5,809$1,936
Injection into Lumbar or Sacral Area, Single Level (64483)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa (20610)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$4,906$3,238$1,079NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,919$3,246$1,082NRNRNR
Carpal Tunnel Surgery (64721)$8,575$5,659$1,886$8,736$5,766$1,922
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$15,650$10,329$3,443$17,436$11,508$3,836
Uppr GI Endoscopy- Diagnostic (43235)$4,662$3,077$1,026$7,810$5,154$1,718
Creation of Eardrum Opening (69436)$8,150$5,379$1,793$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
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)$11,412$7,532$2,511$21,672$14,304$4,768
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNRNRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$20,281$13,385$4,462$23,759$15,681$5,227
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$5,664$3,738$1,246$6,580$4,343$1,448
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$8,756$5,779$1,926NRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)$11,310$7,465$2,488$12,837$8,473$2,824
Arthroscopic Rotator Cuff Repair (29827)$32,997$21,778$7,259$33,137$21,870$7,290
Cataract Surgery- Complex (66982)$8,990$5,934$1,978$13,366$8,822$2,941
Hysteroscopy with Biopsy (58558)$13,133$8,668$2,889$17,582$11,604$3,868
Cystourethroscopy with Lithotripsy and Stent (52356)$21,560$14,230$4,743$23,925$15,790$5,263
Incision of Finger Tendon Sheath (26055)$8,907$5,879$1,960$10,877$7,179$2,393
Laparoscopic Hernia Repair - Initial (49650)$23,647$15,607$5,202$23,643$15,605$5,202
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$15,508$10,235$3,412$18,478$12,196$4,065
Unlisted Cystourethoscopy (52000)$6,489$4,283$1,428$9,801$6,468$2,156
Uppr GI Endoscopy with Guide Wire (43248)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$13,351$8,812$2,937$38,720$25,555$8,518
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$15,043$9,928$3,309$15,913$10,503$3,501
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$21,835$14,411$4,804$30,867$20,372$6,791
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$9,641$6,363$2,121$18,678$12,327$4,109
Laparoscopy - Removal of Adnexal Structures (58661)$19,606$12,940$4,313$21,247$14,023$4,674
Mastectomy, Partial (19301)$19,394$12,800$4,267$30,137$19,890$6,630
Debridement Skin/Tissue (11042)$17,079$11,272$3,757NRNRNR
Laparoscopic Appendectomy (44970)$24,284$16,027$5,342$31,285$20,648$6,883
Laparoscopy, Removal of Tubes & Ovaries (58571)$32,706$21,586$7,195NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$16,829$11,107$3,702$24,825$16,384$5,461
Removal of Tonsils (42826)$12,503$8,252$2,751$14,681$9,689$3,230
Low Back Disk Surgery (63030)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNR$34,390$22,697$7,566
Repair of Nasal Septum (30520)NRNRNR$19,047$12,571$4,190
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)$14,202$9,373$3,124$16,075$10,610$3,537
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Removal of Adenoids (42830)$12,643$8,344$2,781$10,621$7,010$2,337
Hysteroscopy with Ablation (58563)$17,545$11,580$3,860$21,370$14,104$4,701
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)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
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)NRNRNRNRNRNR
Correction of Bunion (28296)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)NRNRNR$23,523$15,525$5,175
Angioplasty - peripheral segment of the dialysis circuit (36902)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.