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 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,064$2,804$935
2560Vaginal Delivery$12,835$8,856$2,952
3720Blood Infection/Septicemia$15,001$10,351$3,450
4302Knee Replacement$51,274$35,379$11,793
5540Cesarean Delivery$18,290$12,620$4,207
6194Heart Failure$12,770$8,811$2,937
7301Hip Replacement$50,755$35,021$11,674
8751PsychosesNRNRNR
9139Pneumonia$14,921$10,295$3,432
10140Chronic Obstructive Pulmonary Disease$15,748$10,866$3,622
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$13,461$9,288$3,096
13201Heart Abnormal Rhythm and Conduction Disorders$12,330$8,508$2,836
14383Cellulitis & other skin infections$12,052$8,316$2,772
15045Stroke and Precerebral Occlusion with Infarct$20,516$14,156$4,719
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$12,339$8,514$2,838
18221Major Bowel Procedures$63,517$43,827$14,609
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21754DepressionNRNRNR
22420Diabetes$8,159$5,630$1,877
23282Disorders of Pancreas Except Malignancy$26,363$18,190$6,063
24247Intestinal Obstruction without Surgery$20,430$14,097$4,699
25254Other Digestive System Diagnoses$16,012$11,048$3,683
26812Poisoning of Medicinal Agents$11,547$7,967$2,656
27710Infectious & parasitic diseases including HIV w O.R. procedure$32,493$22,420$7,473
28773Opioid Abuse/Dependence$24,057$16,599$5,533
29308Hip & femur fracture repair$42,494$29,321$9,774
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31190Circulatory Disorders with Heart Attack$8,462$5,839$1,946
32053SeizureNRNRNR
33137Respiratory Infections and Inflammations$16,533$11,408$3,803
34058Other Disorders of Nervous System$12,369$8,535$2,845
35175Percutaneous coronary intervention w/o AMINRNRNR
36249Other gastroenteritis, nausea & vomiting$15,953$11,008$3,669
37460Renal FailureNRNRNR
38134Pulmonary Embolism$28,812$19,880$6,627
39263Laparoscopic Cholecystectomy$40,044$27,630$9,210
40244Diverticulitis & Diverticulosis$20,456$14,115$4,705
41469Acute Kidney InjuryNRNRNR
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$20,740$14,311$4,770
44315Shoulder, upper arm & forearm procedures except joint replacement$28,505$19,668$6,556
45253Other and Unspecified Gastrointestinal Hemorrhage$62,163$42,892$14,297
46241Peptic Ulcer/Gastritis$12,105$8,352$2,784
47313Other Knee/Lower Leg Surgery$38,567$26,611$8,870
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditionsNRNRNR
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51425Other Electrolyte Disorders$12,385$8,546$2,849
52248Major G.I. Bacterial Infections$23,393$16,141$5,380
53951Moderately Extensive Procedure Unrelated to Diagnosis$28,401$19,597$6,532
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,610$10,081$3,360
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular Procedures$37,633$25,967$8,656
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal Fusion$36,354$25,084$8,361
60566Other Antepartum Diagnoses$10,002$6,901$2,300
61197Peripheral and Other Vascular DisordersNRNRNR
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhageNRNRNR
64173Other Vascular ProceduresNRNRNR
65052Nontraumatic stupor & coma$19,614$13,534$4,511
66225Appendectomy$33,395$23,043$7,681
67141Asthma$19,150$13,214$4,405
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic Infections$8,916$6,152$2,051
70755Neuroses Other Than DepressionNRNRNR
71191Cardiac catheterization for coronary artery diseaseNRNRNR
72220Major Stomach/Esophagus/Duodenum ProceduresNRNRNR
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$22,051$15,215$5,072
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR

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 2016 - March 2017
 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)$8,251$5,693$1,898$13,115$9,049$3,016
Colonoscopy and Biopsy 45380)$5,513$3,804$1,268$6,646$4,585$1,528
Lesion Removal Colonoscopy by Snare Technique 45385)$5,570$3,844$1,281$6,890$4,754$1,585
Upper GI Endoscopy with Biopsy 43239)$5,174$3,570$1,190$6,392$4,410$1,470
Diagnostic Colonoscopy 45378)$4,920$3,395$1,132$6,505$4,489$1,496
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)$5,678$3,918$1,306NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,839$3,339$1,113NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,793$3,307$1,102NRNRNR
Carpal Tunnel Surgery 64721)$8,650$5,968$1,989$8,433$5,819$1,940
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$15,597$10,762$3,587$17,072$11,779$3,926
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,693$3,238$1,079$5,253$3,624$1,208
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,328$4,366$1,455
Creation of Eardrum Opening 69436)$7,587$5,235$1,745$13,262$9,151$3,050
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$11,870$8,190$2,730$16,287$11,238$3,746
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$20,534$14,169$4,723$24,184$16,687$5,562
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,669$3,912$1,304$6,094$4,205$1,402
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$32,274$22,269$7,423
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$8,756$6,042$2,014NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$11,995$8,277$2,759$12,668$8,741$2,914
Hysteroscopy with Biopsy 58558)$12,358$8,527$2,842$17,582$12,131$4,044
Cataract Surgery- Complex 66982)$8,809$6,078$2,026$13,366$9,223$3,074
Cystourethroscopy with Lithotripsy and Stent 52356)$22,380$15,442$5,147$25,958$17,911$5,970
Incision of Finger Tendon Sheath 26055)$9,359$6,458$2,153$10,448$7,209$2,403
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,352$10,593$3,531$20,555$14,183$4,728
Laparoscopic Hernia Repair - Initial 49650)$21,541$14,864$4,955$23,313$16,086$5,362
Unlisted Cystourethoscopy 52000)$6,459$4,457$1,486NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,585$3,164$1,055$6,887$4,752$1,584
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$13,195$9,104$3,035$21,699$14,972$4,991
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,780$15,028$5,009$29,911$20,639$6,880
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,842$10,241$3,414$15,577$10,748$3,583
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$9,711$6,701$2,234$13,762$9,496$3,165
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$19,890$13,724$4,575$22,019$15,193$5,064
Mastectomy, Partial 19301)$19,270$13,296$4,432$28,770$19,851$6,617
Laparoscopic Appendectomy 44970)$24,842$17,141$5,714$31,759$21,914$7,305
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,206$11,872$3,957$29,002$20,012$6,671
Removal of Tonsils 42826)$12,089$8,341$2,780$12,896$8,898$2,966
Laparoscopy, Removal of Tubes & Ovaries 58571)$33,348$23,010$7,670NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$30,655$21,152$7,051
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$19,739$13,620$4,540
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNR$26,796$18,489$6,163
Debridement Skin/Tissue 11042)$9,325$6,434$2,145NRNRNR
Fragmenting of Kidney Stone 50590)$13,251$9,143$3,048$16,075$11,092$3,697
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNR$23,049$15,904$5,301
Hysteroscopy with Ablation 58563)$16,745$11,554$3,851$17,311$11,944$3,981
Remove Impacted Ear Wax 69210)$9,393$6,481$2,160NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$18,997$13,108$4,369
Removal of Adenoids 42830)$11,764$8,117$2,706NRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)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.