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 2014 - June 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,710$2,486$853
2560Vaginal Delivery$10,293$6,896$2,367
3720Blood Infection/Septicemia$20,103$13,469$4,624
4302Knee Replacement$52,017$34,851$11,964
5540Cesarean Delivery$16,387$10,979$3,769
6194Heart Failure$13,617$9,123$3,132
7139Pneumonia$20,034$13,423$4,608
8301Hip Replacement$52,231$34,995$12,013
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$12,937$8,668$2,976
12201Heart Abnormal Rhythm and Conduction Disorders$9,410$6,305$2,164
13775Alcohol Abuse/Dependence$12,780$8,563$2,939
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$11,583$7,761$2,664
16045Stroke and Precerebral Occlusion with Infarct$16,411$10,995$3,775
17463Kidney/Urinary Tract Infection$17,440$11,685$4,011
18860RehabilitationNRNRNR
19221Major Bowel Procedures$53,653$35,948$12,340
20133Pulmonary Edema/Respiratory FailureNRNRNR
21174Angioplasty with Heart AttackNRNRNR
22750SchizophreniaNRNRNR
23247Intestinal Obstruction without Surgery$13,646$9,143$3,139
24254Other Digestive System Diagnoses$14,676$9,833$3,375
25282Disorders of Pancreas Except Malignancy$18,612$12,470$4,281
26420Diabetes$15,431$10,339$3,549
27249Gastroenteritis$22,333$14,963$5,137
28754DepressionNRNRNR
29812Poisoning of Medicinal Agents$9,775$6,549$2,248
30137Respiratory Infections and InflammationsNRNRNR
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$85,599$57,351$19,688
32053Seizure$13,132$8,798$3,020
33134Pulmonary Embolism$13,189$8,837$3,033
34173Other Vascular Procedures$33,103$22,179$7,614
35308Hip/Thigh Surgery with Trauma Diagnosis$38,853$26,032$8,936
36190Circulatory Disorders with Heart Attack$7,089$4,750$1,630
37263Laparoscopic Cholecystectomy$37,208$24,929$8,558
38175Angioplasty without Heart AttackNRNRNR
39244Diverticulitis & Diverticulosis$21,977$14,725$5,055
40425Other Electrolyte Disorders$9,030$6,050$2,077
41241Peptic Ulcer/Gastritis$14,271$9,562$3,282
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$10,688$7,161$2,458
44315Shoulder/Upper Arm, Forearm Surgery$29,278$19,616$6,734
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46313Other Knee/Lower Leg Surgery$30,673$20,551$7,055
47141Asthma$11,821$7,920$2,719
48351Other Musculoskeletal System and Connective Tissue Diagnoses$9,345$6,261$2,149
49773Opioid Abuse/DependenceNRNRNR
50663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$25,733$17,241$5,919
51248Major G.I. Bacterial Infections$13,279$8,897$3,054
52710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55693ChemotherapyNRNRNR
56113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,537$8,400$2,884
57024Extracranial Vascular Procedures$32,980$22,097$7,585
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59144Respiratory System Signs, Symptoms and Minor Diagnoses$27,096$18,154$6,232
60321Upper Spinal Fusion$47,561$31,866$10,939
61225Appendectomy$32,744$21,938$7,531
62197Peripheral and Other Vascular Disorders$7,016$4,701$1,614
63021Craniotomy Except For TraumaNRNRNR
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$16,730$11,209$3,848
65566Other Antepartum Diagnoses$7,847$5,257$1,805
66163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
68204Fainting and Collapse$14,035$9,403$3,228
69052Nontraumatic stupor & comaNRNRNR
70055Head trauma w coma >1 hr or hemorrhageNRNRNR
71755Neuroses Other Than DepressionNRNRNR
72310Back/Neck Procedures Except Dorsal and Lumbar Fusion$28,156$18,865$6,476
73660Major hematologic/immunologic diag exc sickle cell crisis & coagul$13,256$8,882$3,049
74422Hypovolemia$8,125$5,444$1,869
75639Neonate Birthwt >2499g with Other Significant Condition$28,005$18,763$6,441

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 2014 - June 2015
 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)$7,587$5,083$1,745$10,181$6,821$2,342
Colonoscopy and Biopsy 45380)$5,226$3,501$1,202$6,863$4,598$1,578
Upper GI Endoscopy with Biopsy 43239)$4,551$3,049$1,047$5,835$3,909$1,342
Lesion Removal Colonoscopy by Snare Technique 45385)$5,327$3,569$1,225$6,546$4,386$1,506
Diagnostic Colonoscopy 45378)$4,794$3,212$1,103$5,309$3,557$1,221
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)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,442$2,976$1,022NRNRNR
Carpal Tunnel Surgery 64721)$8,076$5,411$1,858$8,831$5,917$2,031
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,322$2,896$994NRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,738$9,205$3,160$14,137$9,472$3,252
Uppr GI Endoscopy- Diagnostic 43235)$4,194$2,810$965$5,959$3,992$1,370
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,011$4,027$1,383
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$7,776$5,210$1,789$12,133$8,129$2,790
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$10,501$7,036$2,415NRNRNR
Laparoscopic Cholecystectomy 47562)$18,314$12,270$4,212$22,067$14,785$5,075
After Cataract Laser Surgery 66821)$2,153$1,443$495NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$8,376$5,612$1,927NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$9,589$6,425$2,205$11,266$7,549$2,591
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,888$9,305$3,194$14,792$9,911$3,402
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$26,704$17,892$6,142
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$11,674$7,821$2,685$20,194$13,530$4,645
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,317$3,562$1,223$6,404$4,291$1,473
Unlisted Cystourethoscopy 52000)$6,126$4,104$1,409$6,347$4,252$1,460
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$9,722$6,514$2,236$19,518$13,077$4,489
Incision of Finger Tendon Sheath 26055)$6,382$4,276$1,468NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$20,122$13,482$4,628$22,351$14,975$5,141
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$19,811$13,274$4,557$22,855$15,313$5,257
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,269$9,560$3,282NRNRNR
Laparoscopic Hernia Repair - Initial 49650)$19,582$13,120$4,504$30,065$20,144$6,915
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,319$2,894$993NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,528$13,754$4,721$26,635$17,846$6,126
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,333$5,583$1,917$12,722$8,524$2,926
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$19,563$13,107$4,499NRNRNR
Fragmenting of Kidney Stone 50590)$13,627$9,130$3,134$13,621$9,126$3,133
Removal of Tonsils 42826)$12,086$8,097$2,780$16,441$11,015$3,781
Repair of Nasal Septum 30520)NRNRNR$15,146$10,148$3,484
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$27,173$18,206$6,250
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,477$9,699$3,330$23,905$16,016$5,498
Mastectomy, Partial 19301)$17,459$11,697$4,015$30,959$20,743$7,121
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$19,385$12,988$4,458$20,347$13,632$4,680
Remove Impacted Ear Wax 69210)$7,225$4,840$1,662$10,934$7,326$2,515
Hysteroscopy with Ablation 58563)$14,987$10,042$3,447$20,043$13,429$4,610
Apheresis Plasma 36514)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$13,376$8,962$3,076$13,550$9,078$3,116
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNR$30,802$20,637$7,085
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Correction of Bunion 28296)$19,906$13,337$4,578NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Removal of Adenoids 42830)$9,237$6,189$2,125NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$7,140$4,784$1,642NRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$13,066$8,754$3,005NRNRNR
Mohs Micrographic Tissue Removal 17311)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.