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 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,981$2,747$916
2560Vaginal Delivery$12,576$8,677$2,892
3720Blood Infection/Septicemia$16,446$11,348$3,783
4302Knee Replacement$50,842$35,081$11,694
5540Cesarean Delivery$17,058$11,770$3,923
6194Heart FailureNRNRNR
7301Hip Replacement$51,373$35,447$11,816
8139Pneumonia$21,420$14,780$4,927
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$18,073$12,470$4,157
12140Chronic Obstructive Pulmonary Disease$20,075$13,852$4,617
13201Heart Abnormal Rhythm and Conduction Disorders$10,026$6,918$2,306
14383Cellulitis and Other Bacterial Skin Infections$12,359$8,528$2,843
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,670$11,502$3,834
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$15,536$10,720$3,573
19221Major Bowel Procedures$59,268$40,895$13,632
20174Angioplasty with Heart AttackNRNRNR
21754DepressionNRNRNR
22750SchizophreniaNRNRNR
23247Intestinal Obstruction without Surgery$16,000$11,040$3,680
24420DiabetesNRNRNR
25282Disorders of Pancreas Except Malignancy$21,412$14,774$4,925
26812Poisoning of Medicinal Agents$11,547$7,967$2,656
27254Other Digestive System Diagnoses$14,950$10,316$3,439
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053Seizure$15,962$11,014$3,671
30190Circulatory Disorders with Heart Attack$8,540$5,893$1,964
31137Respiratory Infections and Inflammations$20,263$13,981$4,660
32173Other Vascular ProceduresNRNRNR
33710Infectious & parasitic diseases including HIV w O.R. procedure$37,559$25,916$8,639
34134Pulmonary Embolism$15,202$10,489$3,496
35308Hip/Thigh Surgery with Trauma Diagnosis$41,492$28,629$9,543
36263Laparoscopic Cholecystectomy$37,754$26,050$8,683
37773Opioid Abuse/Dependence$24,057$16,599$5,533
38249Gastroenteritis$13,115$9,049$3,016
39315Shoulder/Upper Arm, Forearm Surgery$47,310$32,644$10,881
40244Diverticulitis & Diverticulosis$18,790$12,965$4,322
41175Angioplasty without Heart AttackNRNRNR
42861Signs & SymptomsNRNRNR
43058Other Disorders of Nervous SystemNRNRNR
44347Other Back/Neck Disorders, Fractures, Injuries$17,759$12,254$4,085
45253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
46425Other Electrolyte Disorders$11,215$7,738$2,579
47351Other Musculoskeletal System and Connective Tissue Diagnoses$10,310$7,114$2,371
48241Peptic Ulcer/Gastritis$12,225$8,435$2,812
49313Other Knee/Lower Leg Surgery$35,738$24,659$8,220
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
51248Major G.I. Bacterial Infections$18,504$12,768$4,256
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$16,942$11,690$3,897
53024Extracranial Vascular Procedures$35,653$24,601$8,200
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55862Other Factors Influencing Health StatusNRNRNR
56197Peripheral and Other Vascular DisordersNRNRNR
57693ChemotherapyNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59141Asthma$14,306$9,871$3,290
60321Upper Spinal FusionNRNRNR
61566Other Antepartum DiagnosesNRNRNR
62721Postoperative and Post-Traumatic Infections$8,916$6,152$2,051
63225Appendectomy$35,366$24,403$8,134
64052Nontraumatic stupor & comaNRNRNR
65422Hypovolemia$12,249$8,452$2,817
66755Neuroses Other Than DepressionNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
68951Moderately Extensive Procedure Unrelated to Diagnosis$15,698$10,832$3,611
69055Head trauma w coma >1 hr or hemorrhageNRNRNR
70163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
71950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
72220Major Stomach/Esophagus/Duodenum Procedures$26,209$18,084$6,028
73144Respiratory System Signs, Symptoms and Minor Diagnoses$15,461$10,668$3,556
74204Fainting and Collapse$9,010$6,217$2,072
75756Acute Adjust React Psychosocial Dysfunction$24,716$17,054$5,685

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 2015 - June 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)$8,126$5,607$1,869$11,295$7,794$2,598
Colonoscopy and Biopsy 45380)$5,272$3,638$1,213$6,265$4,323$1,441
Lesion Removal Colonoscopy by Snare Technique 45385)$5,380$3,712$1,237$6,748$4,656$1,552
Upper GI Endoscopy with Biopsy 43239)$4,735$3,267$1,089$5,981$4,127$1,376
Diagnostic Colonoscopy 45378)$4,640$3,201$1,067$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)$4,615$3,184$1,061NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,550$3,139$1,046NRNRNR
Carpal Tunnel Surgery 64721)$8,741$6,031$2,010$10,400$7,176$2,392
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,814$10,222$3,407$16,575$11,437$3,812
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,338$2,994$998$4,890$3,374$1,125
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)NRNRNR$12,038$8,306$2,769
Unlisted Dental Surgery Procedure 41899)$11,513$7,944$2,648$13,366$9,223$3,074
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,090$13,172$4,391$24,470$16,884$5,628
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$8,670$5,982$1,994NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$12,461$8,598$2,866$12,077$8,333$2,778
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$27,914$19,261$6,420
Esophageal Endoscopy with Dilation 43249)$5,374$3,708$1,236$5,753$3,970$1,323
Hysteroscopy with Biopsy 58558)$11,271$7,777$2,592$20,709$14,289$4,763
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,040$10,378$3,459$19,852$13,698$4,566
Cystourethroscopy with Lithotripsy and Stent 52356)$21,762$15,016$5,005$22,879$15,786$5,262
Incision of Finger Tendon Sheath 26055)$7,942$5,480$1,827NRNRNR
Unlisted Cystourethoscopy 52000)$6,491$4,479$1,493$14,842$10,241$3,414
Laparoscopic Hernia Repair - Initial 49650)$22,406$15,460$5,153$27,410$18,913$6,304
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,113$8,358$2,786$15,959$11,012$3,671
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,910$15,118$5,039$24,197$16,696$5,565
Uppr GI Endoscopy with Guide Wire 43248)$4,750$3,278$1,093$5,193$3,583$1,194
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$15,196$10,485$3,495$21,377$14,750$4,917
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$23,845$16,453$5,484$29,532$20,377$6,792
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Removal of Tonsils 42826)$11,010$7,597$2,532$12,059$8,321$2,774
Cystourethroscopy with Stent 52332)$9,451$6,521$2,174$11,994$8,276$2,759
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$31,564$21,779$7,260
Laparoscopy - Removal of Adnexal Structures 58661)$20,994$14,486$4,829$21,540$14,862$4,954
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,633$10,787$3,596$17,000$11,730$3,910
Repair of Nasal Septum 30520)$13,820$9,536$3,179$15,280$10,543$3,514
Fragmenting of Kidney Stone 50590)$9,253$6,384$2,128$16,625$11,471$3,824
Mastectomy, Partial 19301)$17,606$12,148$4,049$28,811$19,879$6,626
Needle Biopsy of Liver 47000)NRNRNR$26,796$18,489$6,163
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$12,862$8,875$2,958$6,606$4,558$1,519
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$16,114$11,119$3,706$18,896$13,038$4,346
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$19,712$13,601$4,534
Correction of Bunion 28296)NRNRNR$23,049$15,904$5,301
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Removal of Adenoids 42830)$11,764$8,117$2,706$12,811$8,840$2,947
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)$21,162$14,602$4,867$23,758$16,393$5,464
Removal of Central Venous Device w Port or Pump 36590)$8,212$5,666$1,889NRNRNR
Repair of Hammertoe 28285)$13,450$9,280$3,093$12,752$8,799$2,933
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.