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$2,682$894
2560Vaginal Delivery$12,835$8,471$2,824
3720Blood Infection/Septicemia$15,001$9,901$3,300
4302Knee Replacement$51,274$33,841$11,280
5540Cesarean Delivery$18,290$12,071$4,024
6194Heart Failure$12,770$8,428$2,809
7301Hip Replacement$50,755$33,498$11,166
8751PsychosesNRNRNR
9139Pneumonia$14,921$9,848$3,283
10140Chronic Obstructive Pulmonary Disease$15,748$10,394$3,465
11753Bipolar DisordersNRNRNR
12775Alcohol Abuse/Dependence$13,461$8,884$2,961
13201Heart Abnormal Rhythm and Conduction Disorders$12,330$8,138$2,713
14383Cellulitis & other skin infections$12,052$7,954$2,651
15045Stroke and Precerebral Occlusion with Infarct$20,516$13,541$4,514
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$12,339$8,144$2,715
18221Major Bowel Procedures$63,517$41,921$13,974
19174Percutaneous coronary intervention w AMINRNRNR
20750SchizophreniaNRNRNR
21754DepressionNRNRNR
22420Diabetes$8,159$5,385$1,795
23282Disorders of Pancreas Except Malignancy$26,363$17,400$5,800
24247Intestinal Obstruction without Surgery$20,430$13,484$4,495
25254Other Digestive System Diagnoses$16,012$10,568$3,523
26812Poisoning of Medicinal Agents$11,547$7,621$2,540
27710Infectious & parasitic diseases including HIV w O.R. procedure$32,493$21,445$7,148
28773Opioid Abuse/Dependence$24,057$15,878$5,293
29308Hip & femur fracture repair$42,494$28,046$9,349
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
31190Circulatory Disorders with Heart Attack$8,462$5,585$1,862
32053SeizureNRNRNR
33137Respiratory Infections and Inflammations$16,533$10,912$3,637
34058Other Disorders of Nervous System$12,369$8,164$2,721
35175Percutaneous coronary intervention w/o AMINRNRNR
36249Other gastroenteritis, nausea & vomiting$15,953$10,529$3,510
37460Renal FailureNRNRNR
38134Pulmonary Embolism$28,812$19,016$6,339
39263Laparoscopic Cholecystectomy$40,044$26,429$8,810
40244Diverticulitis & Diverticulosis$20,456$13,501$4,500
41469Acute Kidney InjuryNRNRNR
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$20,740$13,688$4,563
44315Shoulder, upper arm & forearm procedures except joint replacement$28,505$18,813$6,271
45253Other and Unspecified Gastrointestinal Hemorrhage$62,163$41,028$13,676
46241Peptic Ulcer/Gastritis$12,105$7,989$2,663
47313Other Knee/Lower Leg Surgery$38,567$25,454$8,485
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$8,174$2,725
52248Major G.I. Bacterial Infections$23,393$15,439$5,146
53951Moderately Extensive Procedure Unrelated to Diagnosis$28,401$18,745$6,248
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,610$9,643$3,214
55862Other Factors Influencing Health StatusNRNRNR
56024Extracranial Vascular Procedures$37,633$24,838$8,279
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal Fusion$36,354$23,994$7,998
60566Other Antepartum Diagnoses$10,002$6,601$2,200
61197Peripheral and Other Vascular DisordersNRNRNR
62422HypovolemiaNRNRNR
63055Head trauma w coma >1 hr or hemorrhageNRNRNR
64173Other Vascular ProceduresNRNRNR
65052Nontraumatic stupor & coma$19,614$12,945$4,315
66225Appendectomy$33,395$22,041$7,347
67141Asthma$19,150$12,639$4,213
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic Infections$8,916$5,885$1,962
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$14,554$4,851
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$5,446$1,815$13,115$8,656$2,885
Colonoscopy and Biopsy 45380)$5,513$3,639$1,213$6,646$4,386$1,462
Lesion Removal Colonoscopy by Snare Technique 45385)$5,570$3,677$1,226$6,890$4,547$1,516
Upper GI Endoscopy with Biopsy 43239)$5,174$3,415$1,138$6,392$4,218$1,406
Diagnostic Colonoscopy 45378)$4,920$3,247$1,082$6,505$4,294$1,431
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$3,748$1,249NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,839$3,194$1,065NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,793$3,164$1,055NRNRNR
Carpal Tunnel Surgery 64721)$8,650$5,709$1,903$8,433$5,566$1,855
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$15,597$10,294$3,431$17,072$11,267$3,756
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,693$3,098$1,033$5,253$3,467$1,156
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNR$6,328$4,176$1,392
Creation of Eardrum Opening 69436)$7,587$5,008$1,669$13,262$8,753$2,918
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$11,870$7,834$2,611$16,287$10,749$3,583
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$20,534$13,553$4,518$24,184$15,962$5,321
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$3,742$1,247$6,094$4,022$1,341
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$32,274$21,301$7,100
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$8,756$5,779$1,926NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$11,995$7,917$2,639$12,668$8,361$2,787
Hysteroscopy with Biopsy 58558)$12,358$8,156$2,719$17,582$11,604$3,868
Cataract Surgery- Complex 66982)$8,809$5,814$1,938$13,366$8,822$2,941
Cystourethroscopy with Lithotripsy and Stent 52356)$22,380$14,771$4,924$25,958$17,132$5,711
Incision of Finger Tendon Sheath 26055)$9,359$6,177$2,059$10,448$6,896$2,299
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,352$10,133$3,378$20,555$13,566$4,522
Laparoscopic Hernia Repair - Initial 49650)$21,541$14,217$4,739$23,313$15,387$5,129
Unlisted Cystourethoscopy 52000)$6,459$4,263$1,421NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,585$3,026$1,009$6,887$4,546$1,515
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$8,709$2,903$21,699$14,321$4,774
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,780$14,374$4,791$29,911$19,741$6,580
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,842$9,796$3,265$15,577$10,281$3,427
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$9,711$6,409$2,136$13,762$9,083$3,028
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$19,890$13,127$4,376$22,019$14,533$4,844
Mastectomy, Partial 19301)$19,270$12,718$4,239$28,770$18,988$6,329
Laparoscopic Appendectomy 44970)$24,842$16,396$5,465$31,759$20,961$6,987
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$17,206$11,356$3,785$29,002$19,142$6,381
Removal of Tonsils 42826)$12,089$7,979$2,660$12,896$8,511$2,837
Laparoscopy, Removal of Tubes & Ovaries 58571)$33,348$22,010$7,337NRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$30,655$20,232$6,744
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$13,028$4,343
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNR$26,796$17,686$5,895
Debridement Skin/Tissue 11042)$9,325$6,154$2,051NRNRNR
Fragmenting of Kidney Stone 50590)$13,251$8,745$2,915$16,075$10,610$3,537
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$15,212$5,071
Hysteroscopy with Ablation 58563)$16,745$11,052$3,684$17,311$11,425$3,808
Remove Impacted Ear Wax 69210)$9,393$6,199$2,066NRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$18,997$12,538$4,179
Removal of Adenoids 42830)$11,764$7,765$2,588NRNRNR
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.