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 Types of Hospitalizations in Wisconsin: January 2013 - December 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,440$2,374$1,066
2560Vaginal Delivery$6,991$4,824$2,167
3302Knee Replacement$42,339$29,214$13,125
4720Blood Infection/Septicemia$12,540$8,653$3,887
5540Cesarean Delivery$13,722$9,468$4,254
6139Pneumonia$8,959$6,182$2,777
7194Heart Failure$7,272$5,018$2,254
8301Hip Replacement$43,834$30,245$13,589
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$10,620$7,328$3,292
12201Heart Abnormal Rhythm and Conduction Disorders$9,458$6,526$2,932
13383Cellulitis and Other Bacterial Skin Infections$9,669$6,672$2,997
14775Alchohol Abuse/Dependence$9,241$6,376$2,865
15460Renal FailureNRNRNR
16463Kidney/Urinary Tract Infection$7,562$5,218$2,344
17045Stroke and Precerebral Occlusion with Infarct$14,886$10,271$4,615
18860RehabilitationNRNRNR
19221Major Bowel Procedures$33,391$23,040$10,351
20174Angioplasty with Heart AttackNRNRNR
21750SchizophreniaNRNRNR
22133Pulmonary Edema/Respiratory FailureNRNRNR
23254Other Digestive System Diagnoses$12,566$8,671$3,895
24175Angioplasty without Heart AttackNRNRNR
25249GastroenteritisNRNRNR
26247Intestinal Obstruction without Surgery$9,803$6,764$3,039
27420Diabetes$13,815$9,532$4,283
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$8,106$5,593$2,513
30282Disorders of Pancreas Except Malignancy$12,597$8,692$3,905
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$61,397$42,364$19,033
32137Respiratory Infections and Inflammations$1,491$1,029$462
33053Seizure$8,366$5,773$2,593
34263Laparoscopic Cholecystectomy$26,760$18,464$8,296
35308Hip/Thigh Surgery with Trauma Diagnosis$34,560$23,846$10,714
36134Pulmonary Embolism$12,111$8,357$3,754
37173Other Vascular Procedures$38,310$26,434$11,876
38241Peptic Ulcer/Gastritis$11,415$7,876$3,539
39190Circulatory Disorders with Heart Attack$8,168$5,636$2,532
40425Other Electrolyte Disorders$14,013$9,669$4,344
41347Other Back/Neck Disorders, Fractures, Injuries$17,998$12,419$5,579
42313Other Knee/Lower Leg Surgery$23,432$16,168$7,264
43861Signs & SymptomsNRNRNR
44315Shoulder/Upper Arm, Forearm Surgery$26,379$18,202$8,177
45244Diverticulitis & Diverticulosis$11,217$7,740$3,477
46225Appendectomy$24,027$16,579$7,448
47253Other and Unspecified Gastrointestinal Hemorrhage$5,150$3,554$1,597
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,200$7,038$3,162
50141Asthma$6,972$4,811$2,161
51351Other Musculoskeletal System and Connective Tissue Diagnoses$13,944$9,621$4,323
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
53248Major G.I. Bacterial Infections$10,875$7,504$3,371
54024Extracranial Vascular Procedures$20,731$14,304$6,427
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$9,520$6,569$2,951
56321Upper Spinal Fusion$34,908$24,087$10,821
57197Peripheral and Other Vascular Disorders$6,565$4,530$2,035
58204Fainting and Collapse$9,423$6,502$2,921
59513Uterine Procedures without Tumor$22,932$15,823$7,109
60773Opioid Abuse/DependenceNRNRNR
61721Postoperative and Post-Traumatic Infections$10,511$7,253$3,258
62144Respiratory System Signs, Symptoms and Minor Diagnoses$14,722$10,158$4,564
63693ChemotherapyNRNRNR
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$18,428$12,715$5,713
65566Other Antepartum Diagnoses$6,149$4,243$1,906
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$6,600$4,554$2,046
67422Hypovolemia$13,187$9,099$4,088
68710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
69021Craniotomy Except For TraumaNRNRNR
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or TransplantNRNRNR
71143Pneumothorax & Pleural Effusion$16,271$11,227$5,044
72163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
73055Head trauma w coma >1 hr or hemorrhageNRNRNR
74755Neuroses Other Than DepressionNRNRNR
75047Transient Ischemia$13,975$9,643$4,332

NR = No Cases Reported
For billing and insurance concerns related to St. Joseph's Hospital, please call (866) 223-6964.

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: January 2013 - December 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$6,225$4,295$1,930$6,077$4,193$1,884
Colonoscopy and Biopsy (45380)$4,574$3,156$1,418$5,733$3,956$1,777
Diagnostic Colonoscopy (45378)$4,212$2,906$1,306$5,576$3,847$1,729
Upper GI Endoscopy with Biopsy (43239)$3,859$2,662$1,196$5,312$3,665$1,647
Lesion Removal Colonoscopy by Snare Technique (45385)$4,760$3,285$1,476$6,003$4,142$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$684$308NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$4,437$3,061$1,375NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$9,463$6,530$2,934$9,261$6,390$2,871
Carpal Tunnel Surgery (64721)$7,486$5,165$2,321$10,295$7,104$3,191
Uppr GI Endoscopy- Diagnostic (43235)$3,433$2,369$1,064$5,170$3,568$1,603
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,006$2,764$1,242NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,602$3,176$1,427$8,198$5,657$2,541
Left Heart Artery/Ventricle Angiography (93458)NRNRNRNRNRNR
Creation of Eardrum Opening (69436)$3,987$2,751$1,236$6,069$4,187$1,881
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$12,711$8,771$3,940$17,997$12,418$5,579
Unlisted Dental Surgery Procedure (41899)$8,756$6,041$2,714$7,091$4,893$2,198
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNRNRNRNR
After Cataract Laser Surgery (66821)$1,545$1,066$479NRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)$2,969$2,048$920$5,871$4,051$1,820
Removal of Tonsils And Adenoids - < Age 12 (42820)$7,085$4,889$2,196NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$10,749$7,417$3,332$13,426$9,264$4,162
Unlisted Cystourethoscopy (52000)$5,244$3,619$1,626NRNRNR
Arthroscopic Rotator Cuff Repair (29827)NRNRNR$18,722$12,918$5,804
Cataract Surgery- Complex (66982)$6,163$4,253$1,911$8,334$5,751$2,584
Hysteroscopy with Biopsy (58558)$7,300$5,037$2,263$10,343$7,137$3,206
Esophageal Endoscopy with Dilation (43249)$4,967$3,427$1,540$5,369$3,704$1,664
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$14,136$9,753$4,382$20,243$13,967$6,275
ABD Paracentesis w/Imaging (49083)$2,399$1,655$744$4,663$3,217$1,446
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$8,615$5,945$2,671NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$8,869$6,120$2,750NRNRNR
Incision of Finger Tendon Sheath (26055)$6,151$4,244$1,907$8,910$6,148$2,762
Cystourethroscopy with Lithotripsy (52353)$10,426$7,194$3,232$15,592$10,759$4,834
Uppr GI Endoscopy with Guide Wire (43248)$3,935$2,715$1,220$4,654$3,211$1,443
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$14,257$9,837$4,420$13,697$9,451$4,246
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Imaging (19102)$1,576$1,087$489$3,079$2,125$954
Cystourethroscopy with Stent (52332)$7,290$5,030$2,260$10,040$6,928$3,113
Repair of Nasal Septum (30520)NRNRNR$12,152$8,385$3,767
Removal of Tonsils (42826)$10,487$7,236$3,251NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)NRNRNR$19,373$13,368$6,006
Fragmenting of Kidney Stone (50590)$8,875$6,124$2,751$12,971$8,950$4,021
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$11,015$7,600$3,415$13,847$9,554$4,292
Laparoscopic Appendectomy (44970)$16,895$11,657$5,237$38,114$26,298$11,815
Low Back Disk Surgery (63030)$12,529$8,645$3,884$18,260$12,600$5,661
Correction of Bunion (28296)$11,208$7,734$3,475$12,788$8,824$3,964
Hysteroscopy with Ablation (58563)$12,123$8,365$3,758$16,022$11,055$4,967
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$4,905$3,384$1,520$5,688$3,925$1,763
Mastectomy, Partial (19301)$9,259$6,389$2,870$26,278$18,132$8,146
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)$4,299$2,966$1,333NRNRNR
Bone Marrow Biopsy (38221)$3,530$2,435$1,094NRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures (58661)$13,400$9,246$4,154$15,100$10,419$4,681
Debridement, Open Wound <= 20 Square Centimeters (97597)$301$208$93NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)NRNRNRNRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)$2,626$1,812$814$5,746$3,965$1,781
Removal of Breast Lesion (19120)$13,469$9,293$4,175$18,513$12,774$5,739
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$24,930$17,202$7,728
Aspirate Pleura with Imaging (32555)$3,243$2,237$1,005NRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)$9,374$6,468$2,906$8,706$6,007$2,699
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$9,863$6,806$3,058NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$10,572$7,294$3,277$17,577$12,128$5,449
Removal of Central Venous Device w Port or Pump (36590)NRNRNRNRNRNR
Wrist Endoscopy/Surgical (29848)NRNRNRNRNRNR

NR = No Cases Reported
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.

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