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 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,501$2,311$1,085
2560Vaginal Delivery$9,615$6,346$2,981
3720Blood Infection/Septicemia$12,814$8,457$3,972
4302Knee Replacement$51,629$34,075$16,005
5540Cesarean Delivery$15,763$10,404$4,887
6194Heart Failure$10,232$6,753$3,172
7139Pneumonia$16,280$10,745$5,047
8301Hip Replacement$50,793$33,523$15,746
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$13,318$8,790$4,129
12201Heart Abnormal Rhythm and Conduction Disorders$11,264$7,434$3,492
13775Alcohol Abuse/Dependence$11,690$7,715$3,624
14383Cellulitis and Other Bacterial Skin Infections$9,601$6,337$2,976
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,964$11,196$5,259
17860RehabilitationNRNRNR
18463Kidney/Urinary Tract Infection$11,258$7,430$3,490
19221Major Bowel Procedures$51,815$34,198$16,063
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System Diagnoses$12,718$8,394$3,943
24247Intestinal Obstruction without Surgery$11,386$7,515$3,530
25282Disorders of Pancreas Except Malignancy$14,715$9,712$4,562
26420Diabetes$16,320$10,771$5,059
27754DepressionNRNRNR
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$74,989$49,493$23,247
29249Gastroenteritis$19,828$13,086$6,147
30137Respiratory Infections and Inflammations$16,511$10,897$5,118
31812Poisoning of Medicinal Agents$12,290$8,111$3,810
32053Seizure$13,132$8,667$4,071
33308Hip/Thigh Surgery with Trauma Diagnosis$42,480$28,037$13,169
34134Pulmonary Embolism$13,773$9,090$4,270
35175Angioplasty without Heart AttackNRNRNR
36263Laparoscopic Cholecystectomy$29,776$19,652$9,231
37190Circulatory Disorders with Heart Attack$8,168$5,391$2,532
38173Other Vascular Procedures$38,310$25,285$11,876
39347Other Back/Neck Disorders, Fractures, Injuries$16,752$11,056$5,193
40244Diverticulitis & Diverticulosis$15,247$10,063$4,727
41425Other Electrolyte Disorders$12,655$8,352$3,923
42315Shoulder/Upper Arm, Forearm Surgery$29,278$19,323$9,076
43241Peptic Ulcer/Gastritis$10,056$6,637$3,117
44313Other Knee/Lower Leg Surgery$33,159$21,885$10,279
45861Signs & Symptoms$13,164$8,688$4,081
46141Asthma$15,035$9,923$4,661
47253Other and Unspecified Gastrointestinal Hemorrhage$15,771$10,409$4,889
48351Other Musculoskeletal System and Connective Tissue Diagnoses$9,543$6,298$2,958
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,868$7,173$3,369
50248Major G.I. Bacterial Infections$13,279$8,764$4,116
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52773Opioid Abuse/DependenceNRNRNR
53225Appendectomy$26,325$17,375$8,161
54710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
55024Extracranial Vascular Procedures$30,329$20,017$9,402
56721Postoperative and Post-Traumatic Infections$10,704$7,065$3,318
57321Upper Spinal Fusion$41,697$27,520$12,926
58197Peripheral and Other Vascular Disorders$7,169$4,732$2,222
59693ChemotherapyNRNRNR
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$16,238$10,717$5,034
63204Fainting and CollapseNRNRNR
64021Craniotomy Except For TraumaNRNRNR
65566Other Antepartum Diagnoses$7,767$5,126$2,408
66163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,636$12,300$5,777
68052Nontraumatic stupor & coma$15,376$10,148$4,767
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$28,274$18,661$8,765
70198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,668$8,361$3,927
71755Neuroses Other Than DepressionNRNRNR
72422Hypovolemia$6,757$4,460$2,095
73165Coronary Bypass with Cardiac CatheterizationNRNRNR
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$15,605$10,299$4,838
75055Head trauma w coma >1 hr or hemorrhage$15,089$9,959$4,678

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 2013 - September 2014
 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)$7,094$4,682$2,199NRNRNR
Colonoscopy and Biopsy 45380)$4,957$3,272$1,537$5,857$3,866$1,816
Upper GI Endoscopy with Biopsy 43239)$4,362$2,879$1,352$5,560$3,670$1,724
Diagnostic Colonoscopy 45378)$4,407$2,909$1,366$5,165$3,409$1,601
Lesion Removal Colonoscopy by Snare Technique 45385)$4,866$3,211$1,508$5,775$3,812$1,790
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)$4,806$3,172$1,490$1,833$1,210$568
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,315$2,848$1,338NRNRNR
Carpal Tunnel Surgery 64721)$8,227$5,430$2,550$8,419$5,557$2,610
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,881$8,502$3,993$15,795$10,425$4,896
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,185$2,762$1,297NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,966$2,618$1,229$5,803$3,830$1,799
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,604$3,038$1,427$6,011$3,967$1,863
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,656$4,393$2,063$7,310$4,825$2,266
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$17,312$11,426$5,367$20,145$13,296$6,245
Unlisted Dental Surgery Procedure 41899)$9,807$6,473$3,040$8,308$5,484$2,576
After Cataract Laser Surgery 66821)$2,129$1,405$660$2,249$1,484$697
Removal of Tonsils And Adenoids - < Age 12 42820)$10,136$6,689$3,142$11,266$7,436$3,493
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,505$8,253$3,877$14,363$9,480$4,453
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$24,468$16,149$7,585
Cataract Surgery- Complex 66982)$8,102$5,347$2,511NRNRNR
Hysteroscopy with Biopsy 58558)$10,098$6,665$3,130$14,975$9,883$4,642
ABD Paracentesis w/Imaging 49083)$2,379$1,570$737NRNRNR
Unlisted Cystourethoscopy 52000)$5,720$3,775$1,773$2,496$1,647$774
Esophageal Endoscopy with Dilation 43249)$5,206$3,436$1,614$6,324$4,174$1,960
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$18,658$12,315$5,784$20,358$13,436$6,311
Incision of Finger Tendon Sheath 26055)$6,791$4,482$2,105NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,926$8,531$4,007NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,484$3,620$1,700$14,132$9,327$4,381
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,731$6,423$3,017$19,518$12,882$6,051
Uppr GI Endoscopy with Guide Wire 43248)$3,935$2,597$1,220$4,639$3,061$1,438
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$19,307$12,742$5,985NRNRNR
Laparoscopic Appendectomy 44970)$20,528$13,549$6,364$40,052$26,434$12,416
Cystourethroscopy with Stent 52332)$8,080$5,333$2,505$9,095$6,003$2,819
Repair of Nasal Septum 30520)NRNRNR$14,429$9,523$4,473
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$9,165$6,049$2,841$12,971$8,561$4,021
Low Back Disk Surgery 63030)$18,968$12,519$5,880$18,024$11,896$5,587
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,232$8,733$4,102$20,245$13,362$6,276
Removal of Tonsils 42826)$10,521$6,944$3,262$16,545$10,920$5,129
Cystourethroscopy with Lithotripsy and Stent 52356)$19,458$12,842$6,032$19,409$12,810$6,017
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$16,000$10,560$4,960$25,974$17,143$8,052
Hysteroscopy with Ablation 58563)$15,011$9,907$4,653$19,418$12,816$6,020
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,563$3,671$1,724NRNRNR
Colonoscopy with Lesion Removal 45383)$5,159$3,405$1,599$6,559$4,329$2,033
Correction of Bunion 28296)$13,992$9,235$4,337NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$4,096$2,703$1,270NRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,039$5,306$2,492
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$18,962$12,515$5,878$22,536$14,874$6,986
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$14,009$9,246$4,343$18,513$12,219$5,739
Debridement Skin/Tissue 11042)$9,003$5,942$2,791NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$3,373$2,226$1,046$6,134$4,048$1,901
Shoulder Arthroscopy/Surgery 29824)NRNRNR$15,705$10,365$4,869
Repair of Hammertoe 28285)$9,938$6,559$3,081NRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$20,191$13,326$6,259
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$18,632$12,297$5,776$24,036$15,863$7,451
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.