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 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,442$2,272$1,067
2560Vaginal Delivery$7,512$4,958$2,329
3302Knee Replacement$46,106$30,430$14,293
4720Blood Infection/Septicemia$12,814$8,457$3,972
5540Cesarean Delivery$14,395$9,501$4,462
6139Pneumonia$11,248$7,424$3,487
7194Heart Failure$12,598$8,315$3,905
8301Hip Replacement$46,857$30,926$14,526
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$10,926$7,211$3,387
12201Heart Abnormal Rhythm and Conduction Disorders$11,674$7,705$3,619
13383Cellulitis and Other Bacterial Skin Infections$9,333$6,160$2,893
14775Alchohol Abuse/Dependence$9,546$6,300$2,959
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$15,678$10,347$4,860
17463Kidney/Urinary Tract Infection$9,466$6,248$2,934
18860RehabilitationNRNRNR
19221Major Bowel Procedures$39,701$26,203$12,307
20750SchizophreniaNRNRNR
21133Pulmonary Edema/Respiratory FailureNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System Diagnoses$13,599$8,975$4,216
24247Intestinal Obstruction without Surgery$11,386$7,515$3,530
25175Angioplasty without Heart AttackNRNRNR
26420Diabetes$15,068$9,945$4,671
27282Disorders of Pancreas Except Malignancy$14,670$9,682$4,548
28249Gastroenteritis$8,699$5,741$2,697
29754DepressionNRNRNR
30812Poisoning of Medicinal Agents$8,106$5,350$2,513
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$73,922$48,789$22,916
32137Respiratory Infections and Inflammations$11,180$7,379$3,466
33053Seizure$11,571$7,637$3,587
34308Hip/Thigh Surgery with Trauma Diagnosis$37,061$24,460$11,489
35263Laparoscopic Cholecystectomy$27,426$18,101$8,502
36134Pulmonary Embolism$12,911$8,521$4,002
37173Other Vascular Procedures$38,310$25,285$11,876
38190Circulatory Disorders with Heart Attack$8,168$5,391$2,532
39425Other Electrolyte Disorders$15,893$10,489$4,927
40347Other Back/Neck Disorders, Fractures, Injuries$17,816$11,759$5,523
41315Shoulder/Upper Arm, Forearm Surgery$26,379$17,410$8,177
42241Peptic Ulcer/Gastritis$10,735$7,085$3,328
43244Diverticulitis & Diverticulosis$14,545$9,600$4,509
44861Signs & Symptoms$13,164$8,688$4,081
45313Other Knee/Lower Leg Surgery$27,452$18,118$8,510
46253Other and Unspecified Gastrointestinal Hemorrhage$15,771$10,409$4,889
47225Appendectomy$24,027$15,858$7,448
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$9,367$6,182$2,904
49351Other Musculoskeletal System and Connective Tissue Diagnoses$13,944$9,203$4,323
50248Major G.I. Bacterial Infections$10,875$7,178$3,371
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
52141Asthma$10,062$6,641$3,119
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
54024Extracranial Vascular Procedures$25,617$16,907$7,941
55773Opioid Abuse/DependenceNRNRNR
56321Upper Spinal Fusion$40,164$26,508$12,451
57197Peripheral and Other Vascular Disorders$6,969$4,600$2,160
58721Postoperative and Post-Traumatic Infections$10,608$7,001$3,288
59204Fainting and Collapse$7,944$5,243$2,463
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$9,520$6,283$2,951
61693ChemotherapyNRNRNR
62710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
63144Respiratory System Signs, Symptoms and Minor Diagnoses$14,722$9,717$4,564
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$16,246$10,722$5,036
66566Other Antepartum Diagnoses$6,149$4,058$1,906
67513Uterine Procedures without Tumor$26,771$17,669$8,299
68021Craniotomy Except For TraumaNRNRNR
69163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
70143Pneumothorax & Pleural Effusion$16,271$10,739$5,044
71422Hypovolemia$12,960$8,554$4,018
72755Neuroses Other Than DepressionNRNRNR
73052Nontraumatic stupor & coma$17,955$11,850$5,566
74055Head trauma w coma >1 hr or hemorrhage$17,911$11,821$5,552
75047Transient Ischemia$13,975$9,224$4,332

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 2013 - March 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)$6,737$4,447$2,089NRNRNR
Colonoscopy and Biopsy 45380)$4,798$3,167$1,487$5,822$3,842$1,805
Upper GI Endoscopy with Biopsy 43239)$4,066$2,683$1,260$5,353$3,533$1,659
Diagnostic Colonoscopy 45378)$4,215$2,782$1,306$5,576$3,680$1,729
Lesion Removal Colonoscopy by Snare Technique 45385)$4,760$3,142$1,476$6,003$3,962$1,861
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)$4,376$2,888$1,357NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,017$7,931$3,725$12,306$8,122$3,815
Carpal Tunnel Surgery 64721)$7,643$5,044$2,369$10,295$6,795$3,191
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,063$2,682$1,260NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,858$2,546$1,196$5,170$3,412$1,603
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
Creation of Eardrum Opening 69436)$5,093$3,361$1,579NRNRNR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$9,232$6,093$2,862$7,091$4,680$2,198
Laparoscopic Cholecystectomy 47562)$16,049$10,592$4,975$21,413$14,132$6,638
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)$1,482$978$459$2,249$1,484$697
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$11,802$7,789$3,659$13,426$8,861$4,162
Removal of Tonsils And Adenoids - < Age 12 42820)$9,758$6,440$3,025NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$19,994$13,196$6,198
Cataract Surgery- Complex 66982)$7,447$4,915$2,309$8,334$5,501$2,584
Unlisted Cystourethoscopy 52000)$5,324$3,514$1,650$2,496$1,647$774
Hysteroscopy with Biopsy 58558)$9,115$6,016$2,826$10,576$6,980$3,278
Percutaneous Breast Biopsy with Device and Imaging 19103)$2,969$1,959$920$6,088$4,018$1,887
Esophageal Endoscopy with Dilation 43249)$4,967$3,278$1,540$5,163$3,407$1,600
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)$16,719$11,034$5,183$20,109$13,272$6,234
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$11,759$7,761$3,645NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$8,963$5,915$2,778$19,054$12,576$5,907
Incision of Finger Tendon Sheath 26055)$6,609$4,362$2,049$8,910$5,881$2,762
Uppr GI Endoscopy with Guide Wire 43248)$3,935$2,597$1,220$4,654$3,071$1,443
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$16,479$10,876$5,109$14,746$9,732$4,571
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy 52353)$9,362$6,179$2,902$16,180$10,679$5,016
Repair of Nasal Septum 30520)NRNRNR$13,071$8,627$4,052
Cystourethroscopy with Stent 52332)$8,644$5,705$2,680$9,507$6,274$2,947
Removal of Tonsils 42826)$10,407$6,869$3,226$10,125$6,683$3,139
Laparoscopic Appendectomy 44970)$18,817$12,419$5,833$39,286$25,929$12,179
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$9,020$5,953$2,796$12,971$8,561$4,021
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$11,542$7,618$3,578$17,147$11,317$5,315
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$16,890$11,148$5,236$17,447$11,515$5,409
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$12,673$8,364$3,928$17,720$11,695$5,493
Correction of Bunion 28296)$12,896$8,511$3,998$12,788$8,440$3,964
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$10,187$6,723$3,158$26,008$17,165$8,063
Colonoscopy with Lesion Removal 45383)$5,172$3,414$1,603$5,688$3,754$1,763
Percutaneous Breast Biopsy with Imaging 19102)$1,576$1,040$489$3,249$2,144$1,007
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$3,869$2,554$1,199NRNRNR
Needle Biopsy of Liver 47000)$4,299$2,837$1,333NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$15,854$10,464$4,915$15,634$10,318$4,846
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$2,679$1,768$830$5,940$3,920$1,841
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$13,947$9,205$4,324$18,513$12,219$5,739
Aspirate Pleura with Imaging 32555)$3,243$2,140$1,005NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)NRNRNR$24,930$16,454$7,728
Debridement, Open Wound <= 20 Square Centimeters 97597)$328$217$102NRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$9,003$5,942$2,791$14,852$9,803$4,604
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$12,819$8,461$3,974NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$11,022$7,275$3,417$18,692$12,337$5,795
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.