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:  January 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,527$2,328$1,093
2560Vaginal Delivery$9,705$6,405$3,009
3720Blood Infection/Septicemia$16,638$10,981$5,158
4302Knee Replacement$52,938$34,939$16,411
5540Cesarean Delivery$16,214$10,701$5,026
6194Heart Failure$10,232$6,753$3,172
7139Pneumonia$18,360$12,118$5,692
8301Hip Replacement$51,790$34,181$16,055
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$13,337$8,802$4,134
12201Heart Abnormal Rhythm and Conduction Disorders$9,306$6,142$2,885
13775Alcohol Abuse/Dependence$11,713$7,731$3,631
14383Cellulitis and Other Bacterial Skin Infections$8,161$5,386$2,530
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,973$11,862$5,572
17463Kidney/Urinary Tract Infection$10,620$7,009$3,292
18860RehabilitationNRNRNR
19221Major Bowel Procedures$51,968$34,299$16,110
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750SchizophreniaNRNRNR
22174Angioplasty with Heart AttackNRNRNR
23254Other Digestive System Diagnoses$12,718$8,394$3,943
24247Intestinal Obstruction without Surgery$13,295$8,775$4,121
25282Disorders of Pancreas Except Malignancy$16,857$11,126$5,226
26420Diabetes$15,375$10,148$4,766
27754DepressionNRNRNR
28249Gastroenteritis$19,828$13,086$6,147
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$77,076$50,870$23,894
30053Seizure$13,132$8,667$4,071
31137Respiratory Infections and Inflammations$16,511$10,897$5,118
32812Poisoning of Medicinal Agents$11,226$7,409$3,480
33308Hip/Thigh Surgery with Trauma Diagnosis$39,399$26,003$12,214
34134Pulmonary Embolism$13,828$9,126$4,287
35175Angioplasty without Heart AttackNRNRNR
36190Circulatory Disorders with Heart Attack$9,373$6,186$2,906
37173Other Vascular ProceduresNRNRNR
38263Laparoscopic Cholecystectomy$26,432$17,445$8,194
39347Other Back/Neck Disorders, Fractures, Injuries$13,544$8,939$4,199
40244Diverticulitis & Diverticulosis$15,432$10,185$4,784
41425Other Electrolyte Disorders$12,655$8,352$3,923
42861Signs & Symptoms$13,164$8,688$4,081
43241Peptic Ulcer/Gastritis$12,212$8,060$3,786
44315Shoulder/Upper Arm, Forearm Surgery$29,278$19,323$9,076
45313Other Knee/Lower Leg Surgery$34,016$22,451$10,545
46253Other and Unspecified Gastrointestinal Hemorrhage$15,771$10,409$4,889
47141Asthma$15,035$9,923$4,661
48351Other Musculoskeletal System and Connective Tissue Diagnoses$4,833$3,190$1,498
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
51773Opioid Abuse/DependenceNRNRNR
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
53710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
54024Extracranial Vascular Procedures$30,329$20,017$9,402
55693ChemotherapyNRNRNR
56466Malfunction, reaction, complic of genitourinary device or procNRNRNR
57321Upper Spinal Fusion$47,013$31,029$14,574
58225Appendectomy$35,656$23,533$11,053
59721Postoperative and Post-Traumatic InfectionsNRNRNR
60197Peripheral and Other Vascular Disorders$13,991$9,234$4,337
61144Respiratory System Signs, Symptoms and Minor Diagnoses$17,755$11,718$5,504
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
63021Craniotomy Except For TraumaNRNRNR
64566Other Antepartum Diagnoses$5,634$3,718$1,747
65204Fainting and Collapse$19,901$13,135$6,169
66163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$20,280$13,385$6,287
68052Nontraumatic stupor & coma$15,376$10,148$4,767
69113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,741$8,409$3,950
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$29,644$19,565$9,190
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,256$8,749$4,109
72198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$12,953$8,549$4,015
73755Neuroses Other Than DepressionNRNRNR
74055Head trauma w coma >1 hr or hemorrhage$15,089$9,959$4,678
75422Hypovolemia$6,757$4,460$2,095

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:  January 2014 - December 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)$7,332$4,839$2,273$11,479$7,576$3,559
Colonoscopy and Biopsy 45380)$5,224$3,448$1,620$6,287$4,149$1,949
Upper GI Endoscopy with Biopsy 43239)$4,449$2,936$1,379$5,829$3,847$1,807
Diagnostic Colonoscopy 45378)$4,617$3,047$1,431$5,165$3,409$1,601
Lesion Removal Colonoscopy by Snare Technique 45385)$5,265$3,475$1,632$5,990$3,954$1,857
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)NRNRNR$1,833$1,210$568
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,365$2,881$1,353NRNRNR
Carpal Tunnel Surgery 64721)$8,217$5,423$2,547$13,964$9,216$4,329
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,183$8,701$4,087$16,221$10,706$5,029
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,260$2,811$1,321NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$3,986$2,631$1,236$5,959$3,933$1,847
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,011$3,967$1,863
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$6,812$4,496$2,112$9,722$6,416$3,014
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$17,844$11,777$5,532$21,689$14,315$6,724
Unlisted Dental Surgery Procedure 41899)$9,797$6,466$3,037$8,308$5,484$2,576
After Cataract Laser Surgery 66821)$2,153$1,421$667$2,249$1,484$697
Removal of Tonsils And Adenoids - < Age 12 42820)$9,862$6,509$3,057$11,266$7,436$3,493
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,504$8,913$4,186$14,506$9,574$4,497
Cataract Surgery- Complex 66982)$8,183$5,401$2,537NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,400$15,444$7,254
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)$5,484$3,620$1,700$14,132$9,327$4,381
Hysteroscopy with Biopsy 58558)$10,706$7,066$3,319$16,762$11,063$5,196
ABD Paracentesis w/Imaging 49083)$2,745$1,811$851NRNRNR
Unlisted Cystourethoscopy 52000)$6,503$4,292$2,016$4,421$2,918$1,371
Esophageal Endoscopy with Dilation 43249)$5,015$3,310$1,555$6,477$4,275$2,008
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$19,106$12,610$5,923$22,593$14,911$7,004
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,675$6,386$2,999$19,518$12,882$6,051
Incision of Finger Tendon Sheath 26055)$7,237$4,776$2,243NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,926$8,531$4,007NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$19,259$12,711$5,970$19,409$12,810$6,017
Uppr GI Endoscopy with Guide Wire 43248)$4,296$2,836$1,332$4,639$3,061$1,438
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$19,582$12,924$6,071NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)$5,563$3,671$1,724NRNRNR
Laparoscopic Appendectomy 44970)$20,573$13,578$6,378$29,205$19,276$9,054
Cystourethroscopy with Stent 52332)$8,109$5,352$2,514$8,632$5,697$2,676
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$9,165$6,049$2,841$12,237$8,077$3,794
Repair of Nasal Septum 30520)NRNRNR$14,493$9,565$4,493
Low Back Disk Surgery 63030)$19,414$12,813$6,018$16,871$11,135$5,230
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,424$9,520$4,471$22,526$14,867$6,983
Removal of Tonsils 42826)$11,234$7,414$3,482$16,545$10,920$5,129
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Mastectomy, Partial 19301)$17,929$11,833$5,558$27,718$18,294$8,593
Hysteroscopy with Ablation 58563)$15,023$9,915$4,657$19,681$12,990$6,101
Apheresis Plasma 36514)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Colonoscopy with Lesion Removal 45383)$5,257$3,469$1,630$6,631$4,377$2,056
Bone Marrow Biopsy 38221)$4,096$2,703$1,270NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$18,962$12,515$5,878$21,863$14,430$6,778
Correction of Bunion 28296)$14,969$9,880$4,641NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$8,781$5,796$2,722$13,550$8,943$4,200
Mohs Micrographic Tissue Removal 17311)NRNRNR$8,039$5,306$2,492
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$12,765$8,425$3,957NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)NRNRNR$6,134$4,048$1,901
Removal of Central Venous Device w Port or Pump 36590)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
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.