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 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,062$2,803$934
2560Vaginal Delivery$12,945$8,932$2,977
3720Blood Infection/Septicemia$15,001$10,351$3,450
4302Knee Replacement$50,908$35,127$11,709
5540Cesarean Delivery$17,884$12,340$4,113
6194Heart Failure$12,950$8,936$2,979
7301Hip Replacement$51,195$35,325$11,775
8751PsychosesNRNRNR
9139Pneumonia$14,473$9,986$3,329
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$14,292$9,861$3,287
12140Chronic Obstructive Pulmonary Disease$20,362$14,050$4,683
13201Heart Abnormal Rhythm and Conduction Disorders$13,075$9,022$3,007
14045Stroke and Precerebral Occlusion with Infarct$19,108$13,185$4,395
15383Cellulitis & other skin infections$12,052$8,316$2,772
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$16,185$11,168$3,723
18221Major Bowel Procedures$59,650$41,159$13,720
19174Percutaneous coronary intervention w AMINRNRNR
20754DepressionNRNRNR
21460Renal FailureNRNRNR
22750SchizophreniaNRNRNR
23420DiabetesNRNRNR
24282Disorders of Pancreas Except Malignancy$22,802$15,733$5,244
25247Intestinal Obstruction without Surgery$20,430$14,097$4,699
26812Poisoning of Medicinal Agents$11,547$7,967$2,656
27254Other Digestive System Diagnoses$16,012$11,048$3,683
28710Infectious & parasitic diseases including HIV w O.R. procedure$37,559$25,916$8,639
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
30190Circulatory Disorders with Heart Attack$10,221$7,052$2,351
31773Opioid Abuse/Dependence$24,057$16,599$5,533
32053SeizureNRNRNR
33137Respiratory Infections and Inflammations$20,263$13,981$4,660
34058Other Disorders of Nervous System$17,103$11,801$3,934
35308Hip & femur fracture repair$43,155$29,777$9,926
36175Percutaneous coronary intervention w/o AMINRNRNR
37263Laparoscopic Cholecystectomy$38,286$26,417$8,806
38134Pulmonary Embolism$26,846$18,524$6,175
39249Other gastroenteritis, nausea & vomiting$16,992$11,724$3,908
40244Diverticulitis & Diverticulosis$28,998$20,009$6,670
41315Shoulder, upper arm & forearm procedures except joint replacement$28,505$19,668$6,556
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$20,586$14,204$4,735
44173Other Vascular ProceduresNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$62,163$42,892$14,297
46313Other Knee/Lower Leg Surgery$37,673$25,994$8,665
47351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
48241Peptic Ulcer/Gastritis$12,105$8,352$2,784
49425Other Electrolyte Disorders$12,385$8,546$2,849
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health StatusNRNRNR
52248Major G.I. Bacterial Infections$19,331$13,338$4,446
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,631$10,095$3,365
54024Extracranial Vascular Procedures$33,828$23,341$7,780
55192Cardiac catheterization for other non-coronary conditionsNRNRNR
56191Cardiac catheterization for coronary artery diseaseNRNRNR
57951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59566Other Antepartum Diagnoses$12,830$8,853$2,951
60197Peripheral and Other Vascular DisordersNRNRNR
61321Upper Spinal Fusion$36,354$25,084$8,361
62422HypovolemiaNRNRNR
63052Nontraumatic stupor & coma$19,614$13,534$4,511
64225Appendectomy$34,381$23,723$7,908
65950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
66220Major Stomach/Esophagus/Duodenum Procedures$26,209$18,084$6,028
67055Head trauma w coma >1 hr or hemorrhageNRNRNR
68141Asthma$17,082$11,787$3,929
69721Postoperative and Post-Traumatic Infections$8,916$6,152$2,051
70755Neuroses Other Than DepressionNRNRNR
71163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$22,051$15,215$5,072
73166Coronary bypass w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75144Respiratory System Signs, Symptoms and Minor Diagnoses$20,705$14,286$4,762

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 2016 - December 2016
 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)$8,234$5,682$1,894$12,231$8,439$2,813
Colonoscopy and Biopsy 45380)$5,497$3,793$1,264$6,580$4,540$1,513
Lesion Removal Colonoscopy by Snare Technique 45385)$6,184$4,267$1,422$6,748$4,656$1,552
Upper GI Endoscopy with Biopsy 43239)$5,062$3,492$1,164$6,354$4,384$1,461
Diagnostic Colonoscopy 45378)$4,669$3,221$1,074$6,207$4,283$1,428
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)$4,835$3,336$1,112NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,818$3,324$1,108NRNRNR
Carpal Tunnel Surgery 64721)$8,756$6,041$2,014$8,614$5,944$1,981
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$15,475$10,678$3,559$15,666$10,809$3,603
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,610$3,181$1,060$4,942$3,410$1,137
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$7,587$5,235$1,745$11,239$7,755$2,585
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$11,798$8,140$2,713$12,134$8,373$2,791
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,773$13,643$4,548$25,144$17,350$5,783
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$12,230$8,439$2,813$12,373$8,537$2,846
Esophageal Endoscopy with Dilation 43249)$5,504$3,798$1,266$5,995$4,137$1,379
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$28,886$19,931$6,644
Cataract Surgery- Complex 66982)$8,894$6,137$2,046$13,366$9,223$3,074
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$12,245$8,449$2,816$18,349$12,661$4,220
Cystourethroscopy with Lithotripsy and Stent 52356)$22,070$15,228$5,076$23,919$16,504$5,501
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,352$10,593$3,531$20,555$14,183$4,728
Incision of Finger Tendon Sheath 26055)$9,157$6,318$2,106$10,019$6,913$2,304
Laparoscopic Hernia Repair - Initial 49650)$21,586$14,895$4,965$24,983$17,238$5,746
Unlisted Cystourethoscopy 52000)$6,346$4,378$1,459$14,842$10,241$3,414
Uppr GI Endoscopy with Guide Wire 43248)$4,701$3,243$1,081$5,566$3,840$1,280
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,859$8,873$2,958$15,959$11,012$3,671
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,709$14,979$4,993$30,483$21,033$7,011
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,982$10,338$3,446$15,104$10,421$3,474
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$24,842$17,141$5,714$30,374$20,958$6,986
Cystourethroscopy with Stent 52332)$9,770$6,742$2,247$11,994$8,276$2,759
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$20,701$14,284$4,761$23,301$16,078$5,359
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$16,028$11,059$3,686$29,002$20,012$6,671
Mastectomy, Partial 19301)$19,025$13,128$4,376$29,033$20,033$6,678
Removal of Tonsils 42826)$11,808$8,148$2,716$12,059$8,321$2,774
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$31,109$21,466$7,155
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$33,620$23,198$7,733NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$16,693$11,518$3,839
Fragmenting of Kidney Stone 50590)NRNRNR$16,075$11,092$3,697
Needle Biopsy of Liver 47000)NRNRNR$26,796$18,489$6,163
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$9,325$6,434$2,145NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNR$23,049$15,904$5,301
Hysteroscopy with Ablation 58563)$16,265$11,223$3,741$17,755$12,251$4,084
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$18,997$13,108$4,369
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)$11,764$8,117$2,706NRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$24,006$16,564$5,521
Ablation therapy of first vein of extremity 36475)$15,999$11,039$3,680$24,618$16,987$5,662
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.