Community Memorial Hospital of Menomonee Falls, Inc
W180 N8085 Town Hall Road
Menomonee Falls, WI 53051
262-251-1000

Charges for 75 Most Common Hospitalizations in Wisconsin:  January 2015 - December 2015
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,891$1,792$752
2560Vaginal Delivery$14,147$8,771$3,678
3720Blood Infection/Septicemia$16,374$10,152$4,257
4302Knee Replacement$43,770$27,137$11,380
5540Cesarean Delivery$18,585$11,523$4,832
6194Heart Failure$10,742$6,660$2,793
7301Hip Replacement$44,472$27,573$11,563
8139Pneumonia$11,551$7,162$3,003
9751Psychoses$10,532$6,530$2,738
10753Bipolar Disorders$7,084$4,392$1,842
11140Chronic Obstructive Pulmonary Disease$11,168$6,924$2,904
12201Heart Abnormal Rhythm and Conduction Disorders$12,599$7,811$3,276
13775Alcohol Abuse/Dependence$6,709$4,160$1,744
14460Renal FailureNRNRNR
15383Cellulitis and Other Bacterial Skin Infections$10,943$6,785$2,845
16045Stroke and Precerebral Occlusion with Infarct$19,097$11,840$4,965
17133Pulmonary Edema/Respiratory FailureNRNRNR
18221Major Bowel Procedures$50,408$31,253$13,106
19463Kidney/Urinary Tract Infection$11,912$7,385$3,097
20174Angioplasty with Heart Attack$60,637$37,595$15,766
21860Rehabilitation$32,748$20,304$8,514
22247Intestinal Obstruction without Surgery$15,252$9,456$3,966
23750Schizophrenia$10,650$6,603$2,769
24282Disorders of Pancreas Except Malignancy$19,158$11,878$4,981
25420Diabetes$10,594$6,568$2,754
26754Depression$6,675$4,139$1,736
27254Other Digestive System Diagnoses$11,626$7,208$3,023
28249Gastroenteritis$24,138$14,966$6,276
29812Poisoning of Medicinal Agents$8,254$5,117$2,146
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$58,665$36,372$15,253
31137Respiratory Infections and InflammationsNRNRNR
32053Seizure$14,326$8,882$3,725
33173Other Vascular Procedures$41,849$25,946$10,881
34134Pulmonary Embolism$11,944$7,405$3,105
35190Circulatory Disorders with Heart Attack$19,338$11,990$5,028
36308Hip/Thigh Surgery with Trauma Diagnosis$37,509$23,256$9,752
37263Laparoscopic Cholecystectomy$31,930$19,797$8,302
38244Diverticulitis & Diverticulosis$14,476$8,975$3,764
39315Shoulder/Upper Arm, Forearm Surgery$35,422$21,962$9,210
40175Angioplasty without Heart Attack$71,569$44,373$18,608
41425Other Electrolyte Disorders$7,627$4,729$1,983
42861Signs & Symptoms$15,356$9,521$3,993
43241Peptic Ulcer/Gastritis$15,332$9,506$3,986
44773Opioid Abuse/Dependence$7,534$4,671$1,959
45710Infectious & parasitic diseases including HIV w O.R. procedure$49,347$30,595$12,830
46347Other Back/Neck Disorders, Fractures, Injuries$18,556$11,505$4,825
47253Other and Unspecified Gastrointestinal Hemorrhage$24,459$15,165$6,359
48313Other Knee/Lower Leg Surgery$33,939$21,042$8,824
49351Other Musculoskeletal System and Connective Tissue Diagnoses$28,950$17,949$7,527
50248Major G.I. Bacterial Infections$18,880$11,706$4,909
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$21,476$13,315$5,584
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$18,213$11,292$4,735
53466Malfunction, reaction, complic of genitourinary device or proc$7,036$4,362$1,829
54024Extracranial Vascular Procedures$33,690$20,888$8,759
55693ChemotherapyNRNRNR
56141Asthma$9,186$5,695$2,388
57321Upper Spinal Fusion$44,119$27,354$11,471
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59197Peripheral and Other Vascular Disorders$12,080$7,490$3,141
60058Other Disorders of Nervous System$24,501$15,191$6,370
61021Craniotomy Except For TraumaNRNRNR
62225Appendectomy$29,165$18,082$7,583
63566Other Antepartum Diagnoses$10,960$6,795$2,850
64144Respiratory System Signs, Symptoms and Minor Diagnoses$18,616$11,542$4,840
65163Heart Valve Procedures without Cardiac Catheterization$154,487$95,782$40,167
66055Head trauma w coma >1 hr or hemorrhage$13,009$8,066$3,382
67755Neuroses Other Than Depression$2,696$1,672$701
68113Epiglottitis, Ear Infection, URI and Laryngotracheitis$7,038$4,364$1,830
69192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,854$11,069$4,642
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,045$6,228$2,612
71052Nontraumatic stupor & coma$14,185$8,795$3,688
72204Fainting and Collapse$11,235$6,966$2,921
73422Hypovolemia$23,944$14,845$6,225
74639Neonate Birthwt >2499g with Other Significant Condition$5,465$3,388$1,421
75310Back/Neck Procedures Except Dorsal and Lumbar Fusion$43,495$26,967$11,309

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 2015 - December 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)$8,066$5,001$2,097$9,394$5,824$2,442
Colonoscopy and Biopsy 45380)$6,308$3,911$1,640$7,989$4,953$2,077
Upper GI Endoscopy with Biopsy 43239)$5,336$3,308$1,387$7,425$4,603$1,930
Lesion Removal Colonoscopy by Snare Technique 45385)$6,368$3,948$1,656$8,463$5,247$2,200
Diagnostic Colonoscopy 45378)$5,474$3,394$1,423$8,558$5,306$2,225
Injection into Lumbar or Sacral Area, Single Level 64483)$1,679$1,041$436$1,976$1,225$514
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNR$11,975$7,424$3,113
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,355$3,320$1,392NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,645$3,500$1,468NRNRNR
Carpal Tunnel Surgery 64721)$6,799$4,215$1,768$7,195$4,461$1,871
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,651$7,844$3,289$25,073$15,545$6,519
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,776$2,961$1,242$6,734$4,175$1,751
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,854$3,630$1,522$6,402$3,969$1,664
Left Heart Artery/Ventricle Angiography 93458)$10,745$6,662$2,794$15,747$9,763$4,094
Creation of Eardrum Opening 69436)NRNRNR$10,512$6,517$2,733
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$18,497$11,468$4,809$22,529$13,968$5,857
After Cataract Laser Surgery 66821)$1,417$879$368$2,015$1,249$524
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNR$26,148$16,212$6,798
Cataract Surgery- Complex 66982)$8,873$5,501$2,307NRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,678$14,680$6,156
Hysteroscopy with Biopsy 58558)$13,372$8,291$3,477$16,778$10,403$4,362
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,538$8,393$3,520$21,031$13,039$5,468
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,826$4,232$1,775NRNRNR
Esophageal Endoscopy with Dilation 43249)$6,240$3,869$1,622$7,267$4,505$1,889
Unlisted Cystourethoscopy 52000)$5,580$3,460$1,451$33,397$20,706$8,683
Incision of Finger Tendon Sheath 26055)$6,366$3,947$1,655$7,771$4,818$2,021
Cystourethroscopy with Lithotripsy and Stent 52356)$18,092$11,217$4,704$20,803$12,898$5,409
Laparoscopic Hernia Repair - Initial 49650)$24,764$15,354$6,439$32,864$20,376$8,545
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,582$7,181$3,011$26,363$16,345$6,854
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,027$13,037$5,467$20,797$12,894$5,407
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,085$8,113$3,402$38,171$23,666$9,924
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,511$12,717$5,333$28,211$17,491$7,335
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,637$5,355$2,246$15,553$9,643$4,044
Removal of Tonsils 42826)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$10,915$6,767$2,838
Low Back Disk Surgery 63030)$26,222$16,258$6,818NRNRNR
Fragmenting of Kidney Stone 50590)NRNRNR$14,841$9,201$3,859
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,305$18,169$7,619$27,792$17,231$7,226
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,535$8,392$3,519$29,005$17,983$7,541
Mastectomy, Partial 19301)$14,265$8,844$3,709$27,240$16,889$7,082
Laparoscopy - Removal of Adnexal Structures 58661)$22,142$13,728$5,757$25,776$15,981$6,702
Debridement Skin/Tissue 11042)$9,518$5,901$2,475$16,037$9,943$4,170
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$14,828$9,193$3,855$33,173$20,567$8,625
Laparoscopy, Removal of Tubes & Ovaries 58571)$32,093$19,898$8,344$36,480$22,618$9,485
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$16,123$9,996$4,192NRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$11,670$7,236$3,034$13,628$8,449$3,543
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$17,694$10,970$4,600
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$14,669$9,095$3,814NRNRNR
Removal of Adenoids 42830)$8,999$5,579$2,340$10,004$6,203$2,601
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Repair of Hammertoe 28285)NRNRNR$20,036$12,422$5,209
Removal of Central Venous Device w Port or Pump 36590)$7,321$4,539$1,904NRNRNR
Information about quality and safety of care for Community Memorial Hospital of Menomonee Falls, Inc may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.