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 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,959$2,653$911
2560Vaginal Delivery$12,131$8,128$2,790
3720Blood Infection/Septicemia$23,751$15,913$5,463
4302Knee Replacement$50,728$33,988$11,667
5540Cesarean Delivery$16,943$11,352$3,897
6194Heart Failure$13,617$9,123$3,132
7301Hip Replacement$50,720$33,982$11,666
8139Pneumonia$17,722$11,874$4,076
9751PsychosesNRNRNR
10753Bipolar DisordersNRNRNR
11140Chronic Obstructive Pulmonary Disease$19,461$13,039$4,476
12775Alcohol Abuse/Dependence$21,336$14,295$4,907
13201Heart Abnormal Rhythm and Conduction Disorders$11,283$7,560$2,595
14383Cellulitis and Other Bacterial Skin Infections$11,839$7,932$2,723
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$15,109$10,123$3,475
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$14,060$9,420$3,234
19221Major Bowel Procedures$56,785$38,046$13,061
20174Angioplasty with Heart AttackNRNRNR
21754DepressionNRNRNR
22247Intestinal Obstruction without Surgery$17,596$11,789$4,047
23750SchizophreniaNRNRNR
24420DiabetesNRNRNR
25282Disorders of Pancreas Except Malignancy$19,297$12,929$4,438
26254Other Digestive System Diagnoses$15,718$10,531$3,615
27812Poisoning of Medicinal Agents$12,130$8,127$2,790
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
29053Seizure$15,962$10,695$3,671
30137Respiratory Infections and Inflammations$20,263$13,576$4,660
31173Other Vascular ProceduresNRNRNR
32249Gastroenteritis$13,162$8,819$3,027
33190Circulatory Disorders with Heart Attack$8,540$5,722$1,964
34134Pulmonary Embolism$14,326$9,598$3,295
35308Hip/Thigh Surgery with Trauma Diagnosis$41,492$27,800$9,543
36263Laparoscopic Cholecystectomy$37,338$25,016$8,588
37315Shoulder/Upper Arm, Forearm Surgery$62,280$41,728$14,324
38244Diverticulitis & Diverticulosis$19,193$12,859$4,414
39710Infectious & parasitic diseases including HIV w O.R. procedure$37,559$25,165$8,639
40773Opioid Abuse/DependenceNRNRNR
41860RehabilitationNRNRNR
42175Angioplasty without Heart AttackNRNRNR
43861Signs & SymptomsNRNRNR
44425Other Electrolyte DisordersNRNRNR
45347Other Back/Neck Disorders, Fractures, Injuries$15,023$10,065$3,455
46241Peptic Ulcer/Gastritis$13,001$8,711$2,990
47253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
48313Other Knee/Lower Leg Surgery$32,991$22,104$7,588
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
50351Other Musculoskeletal System and Connective Tissue Diagnoses$10,310$6,908$2,371
51058Other Disorders of Nervous SystemNRNRNR
52248Major G.I. Bacterial Infections$18,504$12,398$4,256
53024Extracranial Vascular Procedures$33,157$22,215$7,626
54466Malfunction, reaction, complic of genitourinary device or procNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,251$12,228$4,198
56141Asthma$14,306$9,585$3,290
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59321Upper Spinal FusionNRNRNR
60197Peripheral and Other Vascular Disorders$2,328$1,560$535
61021Craniotomy Except For TraumaNRNRNR
62225Appendectomy$33,514$22,454$7,708
63566Other Antepartum DiagnosesNRNRNR
64055Head trauma w coma >1 hr or hemorrhageNRNRNR
65755Neuroses Other Than DepressionNRNRNR
66052Nontraumatic stupor & comaNRNRNR
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart DiseaseNRNRNR
68163Heart Valve Procedures without Cardiac CatheterizationNRNRNR
69144Respiratory System Signs, Symptoms and Minor Diagnoses$15,461$10,359$3,556
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,552$7,740$2,657
71422Hypovolemia$9,132$6,118$2,100
72204Fainting and Collapse$9,010$6,037$2,072
73951Moderately Extensive Procedure Unrelated to Diagnosis$21,036$14,094$4,838
74639Neonate Birthwt >2499g with Other Significant Condition$21,452$14,373$4,934
75756Acute Adjust React Psychosocial DysfunctionNRNRNR

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 2015 - March 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)$8,113$5,436$1,866$11,083$7,426$2,549
Colonoscopy and Biopsy 45380)$5,198$3,483$1,196$6,334$4,244$1,457
Upper GI Endoscopy with Biopsy 43239)$4,541$3,043$1,044$5,826$3,903$1,340
Lesion Removal Colonoscopy by Snare Technique 45385)$5,547$3,717$1,276$6,183$4,142$1,422
Diagnostic Colonoscopy 45378)$4,742$3,177$1,091$6,671$4,470$1,534
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)$4,622$3,097$1,063NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,434$2,971$1,020NRNRNR
Carpal Tunnel Surgery 64721)$8,667$5,807$1,994$9,649$6,465$2,219
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,539$9,741$3,344$16,575$11,105$3,812
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,396$2,945$1,011$6,816$4,567$1,568
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$8,065$2,769
Unlisted Dental Surgery Procedure 41899)$11,344$7,600$2,609$13,366$8,956$3,074
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$18,622$12,477$4,283$23,618$15,824$5,432
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$8,678$5,814$1,996NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$12,551$8,409$2,887NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$27,283$18,279$6,275
Hysteroscopy with Biopsy 58558)$10,985$7,360$2,527$19,083$12,786$4,389
Esophageal Endoscopy with Dilation 43249)$5,252$3,519$1,208$5,753$3,855$1,323
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,760$9,889$3,395$21,797$14,604$5,013
Incision of Finger Tendon Sheath 26055)$8,568$5,741$1,971NRNRNR
Unlisted Cystourethoscopy 52000)$6,673$4,471$1,535$14,842$9,944$3,414
Cystourethroscopy with Lithotripsy and Stent 52356)$21,762$14,581$5,005$21,485$14,395$4,942
Laparoscopic Hernia Repair - Initial 49650)$21,654$14,508$4,980$26,904$18,026$6,188
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,118$8,119$2,787$16,471$11,036$3,788
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,011$14,748$5,063$28,079$18,813$6,458
Uppr GI Endoscopy with Guide Wire 43248)$4,750$3,183$1,093$5,193$3,479$1,194
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$15,307$10,256$3,521$21,377$14,323$4,917
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$23,408$15,683$5,384$28,851$19,330$6,636
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)$11,232$7,525$2,583NRNRNR
Cystourethroscopy with Stent 52332)$9,233$6,186$2,124$13,067$8,755$3,005
Repair of Nasal Septum 30520)$13,820$9,260$3,179$15,280$10,237$3,514
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$31,671$21,219$7,284
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)$12,340$8,268$2,838$16,625$11,139$3,824
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,516$10,396$3,569$17,000$11,390$3,910
Laparoscopy - Removal of Adnexal Structures 58661)$20,806$13,940$4,785$20,493$13,730$4,713
Mastectomy, Partial 19301)$16,988$11,382$3,907$29,550$19,799$6,797
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$13,376$8,962$3,076$6,606$4,426$1,519
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNR$30,802$20,637$7,085
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNR$10,934$7,326$2,515
Hysteroscopy with Ablation 58563)$15,859$10,626$3,648$19,593$13,127$4,506
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$20,427$13,686$4,698
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNR$12,811$8,583$2,947
Ablation therapy of first vein of extremity 36475)NRNRNR$23,619$15,825$5,432
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$7,944$5,322$1,827NRNRNR
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.