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:  April 2014 - March 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,609$2,418$830
2560Vaginal Delivery$9,904$6,636$2,278
3720Blood Infection/Septicemia$15,989$10,713$3,677
4302Knee Replacement$52,779$35,362$12,139
5540Cesarean Delivery$16,526$11,072$3,801
6194Heart Failure$9,219$6,177$2,120
7139Pneumonia$18,360$12,301$4,223
8301Hip Replacement$52,761$35,350$12,135
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$13,107$8,782$3,015
12201Heart Abnormal Rhythm and Conduction Disorders$9,202$6,165$2,116
13775Alcohol Abuse/Dependence$12,745$8,539$2,931
14383Cellulitis and Other Bacterial Skin Infections$8,359$5,601$1,923
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,411$10,995$3,775
17463Kidney/Urinary Tract Infection$13,320$8,924$3,064
18860RehabilitationNRNRNR
19221Major Bowel Procedures$53,653$35,948$12,340
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System Diagnoses$14,093$9,442$3,241
24247Intestinal Obstruction without Surgery$13,646$9,143$3,139
25282Disorders of Pancreas Except Malignancy$19,068$12,776$4,386
26420Diabetes$13,192$8,839$3,034
27249Gastroenteritis$22,333$14,963$5,137
28754DepressionNRNRNR
29053Seizure$11,317$7,582$2,603
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$79,789$53,459$18,351
31812Poisoning of Medicinal Agents$11,226$7,521$2,582
32137Respiratory Infections and InflammationsNRNRNR
33134Pulmonary Embolism$14,447$9,679$3,323
34190Circulatory Disorders with Heart Attack$9,373$6,280$2,156
35308Hip/Thigh Surgery with Trauma Diagnosis$38,853$26,032$8,936
36173Other Vascular Procedures$33,103$22,179$7,614
37175Angioplasty without Heart AttackNRNRNR
38263Laparoscopic Cholecystectomy$28,389$19,021$6,529
39425Other Electrolyte Disorders$10,842$7,264$2,494
40244Diverticulitis & Diverticulosis$17,709$11,865$4,073
41347Other Back/Neck Disorders, Fractures, Injuries$11,889$7,966$2,734
42861Signs & SymptomsNRNRNR
43241Peptic Ulcer/Gastritis$12,212$8,182$2,809
44315Shoulder/Upper Arm, Forearm Surgery$29,278$19,616$6,734
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46313Other Knee/Lower Leg Surgery$30,673$20,551$7,055
47141Asthma$11,821$7,920$2,719
48351Other Musculoskeletal System and Connective Tissue Diagnoses$9,345$6,261$2,149
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,868$7,282$2,500
50773Opioid Abuse/DependenceNRNRNR
51248Major G.I. Bacterial Infections$13,279$8,897$3,054
52710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
54693ChemotherapyNRNRNR
55466Malfunction, reaction, complic of genitourinary device or procNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,437$8,333$2,861
57024Extracranial Vascular Procedures$31,654$21,208$7,280
58321Upper Spinal Fusion$47,561$31,866$10,939
59721Postoperative and Post-Traumatic InfectionsNRNRNR
60144Respiratory System Signs, Symptoms and Minor Diagnoses$27,096$18,154$6,232
61225Appendectomy$35,656$23,890$8,201
62197Peripheral and Other Vascular Disorders$9,738$6,524$2,240
63021Craniotomy Except For TraumaNRNRNR
64192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
65566Other Antepartum Diagnoses$7,767$5,204$1,786
66163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
67204Fainting and Collapse$14,035$9,403$3,228
68143Other respiratory diagnoses except signs, symptoms & minor diagnoses$20,280$13,588$4,664
69052Nontraumatic stupor & comaNRNRNR
70055Head trauma w coma >1 hr or hemorrhage$12,267$8,219$2,821
71755Neuroses Other Than DepressionNRNRNR
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$29,431$19,719$6,769
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,256$8,882$3,049
74198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,953$8,679$2,979
75422Hypovolemia$6,757$4,527$1,554

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:  April 2014 - March 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)$7,519$5,038$1,729$11,479$7,691$2,640
Colonoscopy and Biopsy 45380)$5,224$3,500$1,202$6,769$4,535$1,557
Upper GI Endoscopy with Biopsy 43239)$4,527$3,033$1,041$5,955$3,990$1,370
Lesion Removal Colonoscopy by Snare Technique 45385)$5,317$3,562$1,223$6,090$4,080$1,401
Diagnostic Colonoscopy 45378)$4,687$3,140$1,078$5,309$3,557$1,221
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)$4,412$2,956$1,015NRNRNR
Carpal Tunnel Surgery 64721)$8,153$5,462$1,875$11,131$7,458$2,560
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,452$9,013$3,094$14,137$9,472$3,252
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,326$2,898$995NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,165$2,791$958$5,803$3,888$1,335
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,011$4,027$1,383
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,319$4,234$1,453$9,722$6,513$2,236
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$17,982$12,048$4,136$20,145$13,497$4,633
Unlisted Dental Surgery Procedure 41899)$10,340$6,928$2,378$8,308$5,567$1,911
After Cataract Laser Surgery 66821)$2,153$1,443$495NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$9,589$6,425$2,205$11,266$7,549$2,591
Cataract Surgery- Complex 66982)$8,349$5,594$1,920NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,992$9,375$3,218$14,792$9,911$3,402
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,400$15,678$5,382
Hysteroscopy with Biopsy 58558)$10,817$7,247$2,488$18,549$12,428$4,266
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$6,070$4,067$1,396$6,347$4,252$1,460
Esophageal Endoscopy with Dilation 43249)$5,703$3,821$1,312$6,550$4,389$1,507
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$6,941$4,651$1,597NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,722$6,514$2,236$19,518$13,077$4,489
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$19,131$12,817$4,400$23,118$15,489$5,317
Cystourethroscopy with Lithotripsy and Stent 52356)$19,867$13,311$4,569$21,942$14,701$5,047
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,112$9,455$3,246NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$19,582$13,120$4,504$33,308$22,316$7,661
Uppr GI Endoscopy with Guide Wire 43248)$4,296$2,879$988NRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,618$13,814$4,742$26,983$18,079$6,206
Cystourethroscopy with Stent 52332)$8,109$5,433$1,865$8,632$5,784$1,985
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$19,525$13,082$4,491$18,909$12,669$4,349
Repair of Nasal Septum 30520)NRNRNR$14,872$9,964$3,421
Fragmenting of Kidney Stone 50590)NRNRNR$12,371$8,288$2,845
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)$12,086$8,097$2,780$16,545$11,085$3,805
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,477$9,699$3,330$23,215$15,554$5,339
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$27,984$18,749$6,436
Mastectomy, Partial 19301)$18,166$12,171$4,178$29,883$20,022$6,873
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$15,036$10,074$3,458$20,043$13,429$4,610
Remove Impacted Ear Wax 69210)$7,225$4,840$1,662NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$19,173$12,846$4,410$20,347$13,632$4,680
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)NRNRNR$13,550$9,078$3,116
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$14,969$10,029$3,443NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,039$5,386$1,849
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$11,894$7,969$2,736NRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$7,189$4,817$1,654NRNRNR
Colonoscopy with Lesion Removal 45383)$5,257$3,522$1,209$6,693$4,484$1,539
Repair of Hammertoe 28285)$10,121$6,781$2,328NRNRNR
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.