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:  April 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,949$1,769$619
2560Vaginal Delivery$14,291$8,575$3,001
3720Blood Infection/Septicemia$16,853$10,112$3,539
4302Knee Replacement$43,928$26,357$9,225
5540Cesarean Delivery$18,630$11,178$3,912
6194Heart Failure$10,742$6,445$2,256
7301Hip Replacement$44,294$26,576$9,302
8139Pneumonia$11,149$6,689$2,341
9751Psychoses$10,512$6,307$2,208
10753Bipolar Disorders$7,093$4,256$1,490
11140Chronic Obstructive Pulmonary Disease$11,168$6,701$2,345
12775Alcohol Abuse/Dependence$6,230$3,738$1,308
13201Heart Abnormal Rhythm and Conduction Disorders$14,596$8,758$3,065
14383Cellulitis and Other Bacterial Skin Infections$10,959$6,575$2,301
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$18,960$11,376$3,982
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$11,829$7,097$2,484
19221Major Bowel Procedures$50,563$30,338$10,618
20174Angioplasty with Heart Attack$72,005$43,203$15,121
21754Depression$7,345$4,407$1,542
22247Intestinal Obstruction without Surgery$13,781$8,269$2,894
23750Schizophrenia$10,200$6,120$2,142
24420Diabetes$10,707$6,424$2,248
25282Disorders of Pancreas Except Malignancy$17,257$10,354$3,624
26254Other Digestive System Diagnoses$12,388$7,433$2,601
27812Poisoning of Medicinal Agents$5,911$3,547$1,241
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$61,529$36,917$12,921
29053Seizure$14,510$8,706$3,047
30137Respiratory Infections and InflammationsNRNRNR
31173Other Vascular Procedures$41,849$25,109$8,788
32249Gastroenteritis$12,023$7,214$2,525
33190Circulatory Disorders with Heart Attack$19,479$11,687$4,091
34134Pulmonary Embolism$12,467$7,480$2,618
35308Hip/Thigh Surgery with Trauma Diagnosis$37,509$22,505$7,877
36263Laparoscopic Cholecystectomy$31,930$19,158$6,705
37315Shoulder/Upper Arm, Forearm Surgery$35,422$21,253$7,439
38244Diverticulitis & Diverticulosis$15,225$9,135$3,197
39710Infectious & parasitic diseases including HIV w O.R. procedure$32,372$19,423$6,798
40773Opioid Abuse/Dependence$8,044$4,826$1,689
41860Rehabilitation$16,348$9,809$3,433
42175Angioplasty without Heart Attack$70,689$42,413$14,845
43861Signs & Symptoms$12,868$7,721$2,702
44425Other Electrolyte Disorders$34,717$20,830$7,291
45347Other Back/Neck Disorders, Fractures, Injuries$19,890$11,934$4,177
46241Peptic Ulcer/Gastritis$16,938$10,163$3,557
47253Other and Unspecified Gastrointestinal Hemorrhage$19,276$11,566$4,048
48313Other Knee/Lower Leg Surgery$38,767$23,260$8,141
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$20,103$12,062$4,222
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51058Other Disorders of Nervous System$25,250$15,150$5,303
52248Major G.I. Bacterial Infections$20,922$12,553$4,394
53024Extracranial Vascular Procedures$35,174$21,104$7,387
54466Malfunction, reaction, complic of genitourinary device or proc$7,036$4,222$1,478
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,955$9,573$3,351
56141Asthma$9,186$5,512$1,929
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59321Upper Spinal Fusion$44,232$26,539$9,289
60197Peripheral and Other Vascular Disorders$12,080$7,248$2,537
61021Craniotomy Except For TraumaNRNRNR
62225Appendectomy$29,379$17,627$6,170
63566Other Antepartum Diagnoses$10,087$6,052$2,118
64055Head trauma w coma >1 hr or hemorrhage$15,564$9,338$3,268
65755Neuroses Other Than Depression$5,719$3,431$1,201
66052Nontraumatic stupor & coma$14,185$8,511$2,979
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$15,178$9,107$3,187
68163Heart Valve Procedures without Cardiac Catheterization$154,487$92,692$32,442
69144Respiratory System Signs, Symptoms and Minor Diagnoses$17,602$10,561$3,696
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,045$6,027$2,109
71422Hypovolemia$23,944$14,366$5,028
72204Fainting and Collapse$11,358$6,815$2,385
73951Moderately Extensive Procedure Unrelated to Diagnosis$27,368$16,421$5,747
74639Neonate Birthwt >2499g with Other Significant Condition$8,463$5,078$1,777
75756Acute Adjust React Psychosocial Dysfunction$9,870$5,922$2,073

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)$8,163$4,898$1,714$9,828$5,897$2,064
Colonoscopy and Biopsy 45380)$6,297$3,778$1,322$7,865$4,719$1,652
Upper GI Endoscopy with Biopsy 43239)$5,542$3,325$1,164$7,465$4,479$1,568
Lesion Removal Colonoscopy by Snare Technique 45385)$6,368$3,821$1,337$8,463$5,078$1,777
Diagnostic Colonoscopy 45378)$5,602$3,361$1,176$9,044$5,426$1,899
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)NRNRNR$11,395$6,837$2,393
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,522$3,313$1,160NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,732$3,439$1,204NRNRNR
Carpal Tunnel Surgery 64721)$6,792$4,075$1,426$7,215$4,329$1,515
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,744$7,646$2,676$20,009$12,005$4,202
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,830$2,898$1,014$6,800$4,080$1,428
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,134$3,680$1,288$7,496$4,498$1,574
Left Heart Artery/Ventricle Angiography 93458)$10,956$6,573$2,301$15,507$9,304$3,256
Creation of Eardrum Opening 69436)NRNRNR$10,512$6,307$2,207
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,389$11,633$4,072$25,623$15,374$5,381
After Cataract Laser Surgery 66821)$2,015$1,209$423$2,015$1,209$423
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNR$26,148$15,689$5,491
Cataract Surgery- Complex 66982)$9,241$5,544$1,941NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,641$14,184$4,965
Hysteroscopy with Biopsy 58558)$13,404$8,043$2,815$16,778$10,067$3,523
Esophageal Endoscopy with Dilation 43249)$6,075$3,645$1,276$6,911$4,146$1,451
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,826$4,096$1,434$7,565$4,539$1,589
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,706$8,223$2,878$14,044$8,426$2,949
Incision of Finger Tendon Sheath 26055)$6,506$3,904$1,366$7,838$4,703$1,646
Unlisted Cystourethoscopy 52000)$5,202$3,121$1,092$36,772$22,063$7,722
Cystourethroscopy with Lithotripsy and Stent 52356)$18,430$11,058$3,870$21,843$13,106$4,587
Laparoscopic Hernia Repair - Initial 49650)$24,607$14,764$5,167$37,260$22,356$7,825
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,897$7,138$2,498$26,363$15,818$5,536
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,066$12,640$4,424$24,180$14,508$5,078
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,154$7,892$2,762$38,171$22,902$8,016
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,660$12,396$4,339$28,211$16,927$5,924
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)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,637$5,182$1,814$14,511$8,706$3,047
Repair of Nasal Septum 30520)NRNRNR$14,896$8,938$3,128
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$28,969$17,381$6,083$33,706$20,224$7,078
Low Back Disk Surgery 63030)$27,440$16,464$5,762NRNRNR
Fragmenting of Kidney Stone 50590)NRNRNR$14,841$8,905$3,117
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,558$7,535$2,637$27,373$16,424$5,748
Laparoscopy - Removal of Adnexal Structures 58661)$22,897$13,738$4,808$25,497$15,298$5,354
Mastectomy, Partial 19301)$15,332$9,199$3,220$26,728$16,037$5,613
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$9,518$5,711$1,999$16,037$9,622$3,368
Laparoscopy, Removal of Tubes & Ovaries 58571)$34,289$20,573$7,201$38,330$22,998$8,049
Coronary Artery Angio S&I 93454)$11,165$6,699$2,345$51,134$30,680$10,738
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$15,992$9,595$3,358$23,540$14,124$4,943
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$17,360$10,416$3,646
Right and Left Heart Artery/Ventricle Angiography 93460)$12,273$7,364$2,577$13,559$8,136$2,847
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$14,669$8,802$3,081NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$8,999$5,399$1,890$10,734$6,440$2,254
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
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)$10,771$6,463$2,262NRNRNR
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.