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 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,452$2,278$1,070
2560Vaginal Delivery$9,022$5,955$2,797
3720Blood Infection/Septicemia$12,814$8,457$3,972
4302Knee Replacement$49,108$32,411$15,223
5540Cesarean Delivery$15,503$10,232$4,806
6194Heart Failure$10,232$6,753$3,172
7139Pneumonia$13,806$9,112$4,280
8301Hip Replacement$49,445$32,634$15,328
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$13,337$8,802$4,134
12201Heart Abnormal Rhythm and Conduction Disorders$11,674$7,705$3,619
13383Cellulitis and Other Bacterial Skin Infections$9,822$6,483$3,045
14775Alcohol Abuse/Dependence$11,699$7,721$3,627
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,469$10,870$5,105
17463Kidney/Urinary Tract Infection$10,113$6,675$3,135
18860RehabilitationNRNRNR
19221Major Bowel Procedures$48,259$31,851$14,960
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System Diagnoses$11,343$7,486$3,516
24247Intestinal Obstruction without Surgery$11,386$7,515$3,530
25420Diabetes$13,744$9,071$4,261
26282Disorders of Pancreas Except Malignancy$14,715$9,712$4,562
27754DepressionNRNRNR
28249Gastroenteritis$19,828$13,086$6,147
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$74,209$48,978$23,005
30812Poisoning of Medicinal Agents$9,017$5,951$2,795
31175Angioplasty without Heart AttackNRNRNR
32053Seizure$12,139$8,012$3,763
33137Respiratory Infections and Inflammations$11,180$7,379$3,466
34308Hip/Thigh Surgery with Trauma Diagnosis$37,061$24,460$11,489
35263Laparoscopic Cholecystectomy$28,092$18,541$8,709
36134Pulmonary Embolism$13,712$9,050$4,251
37173Other Vascular Procedures$38,310$25,285$11,876
38190Circulatory Disorders with Heart Attack$8,168$5,391$2,532
39347Other Back/Neck Disorders, Fractures, Injuries$16,752$11,056$5,193
40244Diverticulitis & Diverticulosis$14,896$9,831$4,618
41425Other Electrolyte Disorders$14,274$9,421$4,425
42315Shoulder/Upper Arm, Forearm Surgery$29,604$19,539$9,177
43241Peptic Ulcer/Gastritis$10,056$6,637$3,117
44861Signs & Symptoms$13,164$8,688$4,081
45313Other Knee/Lower Leg Surgery$26,842$17,716$8,321
46253Other and Unspecified Gastrointestinal Hemorrhage$15,771$10,409$4,889
47351Other Musculoskeletal System and Connective Tissue Diagnoses$10,131$6,686$3,141
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,629$7,015$3,295
49225Appendectomy$24,027$15,858$7,448
50248Major G.I. Bacterial InfectionsNRNRNR
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52141AsthmaNRNRNR
53024Extracranial Vascular Procedures$30,503$20,132$9,456
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
55721Postoperative and Post-Traumatic Infections$10,511$6,937$3,258
56321Upper Spinal Fusion$40,164$26,508$12,451
57197Peripheral and Other Vascular Disorders$7,373$4,866$2,286
58773Opioid Abuse/DependenceNRNRNR
59693ChemotherapyNRNRNR
60710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
61204Fainting and CollapseNRNRNR
62466Malfunction, reaction, complic of genitourinary device or procNRNRNR
63566Other Antepartum Diagnoses$5,091$3,360$1,578
64021Craniotomy Except For TraumaNRNRNR
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,561$8,290$3,894
66144Respiratory System Signs, Symptoms and Minor Diagnoses$14,722$9,717$4,564
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$31,014$20,469$9,614
68163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$14,964$9,876$4,639
70052Nontraumatic stupor & coma$17,955$11,850$5,566
71513Uterine Procedures without Tumor$26,771$17,669$8,299
72422Hypovolemia$9,858$6,506$3,056
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhage$15,089$9,959$4,678
75165Coronary Bypass with Cardiac CatheterizationNRNRNR

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 2013 - June 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)$6,951$4,588$2,155NRNRNR
Colonoscopy and Biopsy 45380)$4,911$3,241$1,522$5,708$3,767$1,769
Upper GI Endoscopy with Biopsy 43239)$4,216$2,782$1,307$5,469$3,609$1,695
Diagnostic Colonoscopy 45378)$4,367$2,882$1,354$5,616$3,707$1,741
Lesion Removal Colonoscopy by Snare Technique 45385)$4,760$3,142$1,476$5,947$3,925$1,844
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)$992$655$308$1,833$1,210$568
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,308$2,844$1,336NRNRNR
Carpal Tunnel Surgery 64721)$7,900$5,214$2,449$10,295$6,795$3,191
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,388$8,176$3,840$13,284$8,767$4,118
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$3,985$2,630$1,235NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,858$2,546$1,196$5,212$3,440$1,616
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$4,602$3,038$1,427$8,198$5,411$2,541
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,499$4,289$2,015$7,310$4,825$2,266
Unlisted Dental Surgery Procedure 41899)$9,423$6,219$2,921$8,308$5,484$2,576
Laparoscopic Cholecystectomy 47562)$17,007$11,224$5,272$20,195$13,329$6,260
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNR$2,249$1,484$697
Removal of Tonsils And Adenoids - < Age 12 42820)$10,294$6,794$3,191NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,084$7,976$3,746$13,426$8,861$4,162
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,934$15,796$7,420
Cataract Surgery- Complex 66982)$7,644$5,045$2,370$8,334$5,501$2,584
Hysteroscopy with Biopsy 58558)$9,162$6,047$2,840$14,576$9,620$4,519
Unlisted Cystourethoscopy 52000)$5,486$3,621$1,701$2,496$1,647$774
Esophageal Endoscopy with Dilation 43249)$5,206$3,436$1,614$5,742$3,790$1,780
ABD Paracentesis w/Imaging 49083)$2,562$1,691$794$2,833$1,870$878
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$17,757$11,719$5,505$20,243$13,360$6,275
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,714$8,391$3,941NRNRNR
Incision of Finger Tendon Sheath 26055)$6,791$4,482$2,105$8,910$5,881$2,762
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,675$6,386$2,999$19,054$12,576$5,907
Uppr GI Endoscopy with Guide Wire 43248)$3,818$2,520$1,184$4,654$3,071$1,443
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$18,011$11,887$5,583$14,746$9,732$4,571
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$13,119$8,658$4,067
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNR$6,315$4,168$1,958
Cystourethroscopy with Stent 52332)$7,864$5,190$2,438$9,507$6,274$2,947
Laparoscopic Appendectomy 44970)$19,579$12,922$6,069$38,114$25,155$11,815
Removal of Tonsils 42826)$10,407$6,869$3,226$13,623$8,991$4,223
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,186$8,043$3,778$20,245$13,362$6,276
Fragmenting of Kidney Stone 50590)$9,020$5,953$2,796$12,424$8,200$3,852
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$17,190$11,345$5,329$18,024$11,896$5,587
Hysteroscopy with Ablation 58563)$14,048$9,272$4,355$16,928$11,173$5,248
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,484$3,620$1,700$14,132$9,327$4,381
Mastectomy, Partial 19301)$13,570$8,956$4,207$25,856$17,065$8,015
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Colonoscopy with Lesion Removal 45383)$5,341$3,525$1,656$6,248$4,123$1,937
Correction of Bunion 28296)$12,896$8,511$3,998$12,788$8,440$3,964
Cystourethroscopy with Lithotripsy 52353)NRNRNR$17,825$11,764$5,526
Bone Marrow Biopsy 38221)$3,530$2,330$1,094NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$5,199$3,431$1,612NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,039$5,306$2,492
Laparoscopy - Removal of Adnexal Structures 58661)$17,663$11,657$5,475$18,093$11,941$5,609
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)$3,243$2,140$1,005NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$3,026$1,997$938$6,134$4,048$1,901
Removal of Breast Lesion 19120)$12,990$8,573$4,027$18,513$12,219$5,739
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$22,998$15,179$7,129
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$17,687$11,674$5,483$20,635$13,619$6,397
Shoulder Arthroscopy/Surgery 29824)NRNRNR$15,244$10,061$4,726
Debridement Skin/Tissue 11042)$9,003$5,942$2,791$19,988$13,192$6,196
Cystourethroscopy with Lithotripsy and Stent 52356)$19,440$12,830$6,026$18,352$12,113$5,689
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.