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:   October 2016 - September 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,143$1,854$786
2560Vaginal Delivery$14,826$8,747$3,707
3720Blood Infection/Septicemia$18,785$11,083$4,696
4302Knee Replacement$43,717$25,793$10,929
5194Heart Failure$12,528$7,392$3,132
6540Cesarean Delivery$19,826$11,697$4,957
7301Hip Replacement$44,267$26,118$11,067
8751Psychoses$7,737$4,565$1,934
9140Chronic Obstructive Pulmonary Disease$10,604$6,256$2,651
10139Pneumonia$11,882$7,010$2,971
11753Bipolar Disorders$8,763$5,170$2,191
12775Alcohol Abuse/Dependence$7,203$4,250$1,801
13201Heart Abnormal Rhythm and Conduction Disorders$8,694$5,129$2,174
14133Respiratory failureNRNRNR
15383Cellulitis & other skin infections$9,146$5,396$2,287
16045Stroke and Precerebral Occlusion with Infarct$21,264$12,546$5,316
17469Acute Kidney Injury$16,219$9,569$4,055
18463Kidney/Urinary Tract Infection$15,393$9,082$3,848
19221Major Bowel Procedures$54,592$32,209$13,648
20174Percutaneous coronary intervention w AMI$70,611$41,660$17,653
21750Schizophrenia$13,417$7,916$3,354
22420Diabetes$19,894$11,737$4,974
23754Depression$7,224$4,262$1,806
24282Disorders of Pancreas Except Malignancy$22,387$13,208$5,597
25247Intestinal Obstruction without Surgery$18,155$10,711$4,539
26812Poisoning of Medicinal Agents$14,419$8,507$3,605
27254Other Digestive System Diagnoses$19,321$11,399$4,830
28308Hip & femur fracture repair$46,364$27,355$11,591
29710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
30190Circulatory Disorders with Heart Attack$36,146$21,326$9,037
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$65,655$38,736$16,414
32053Seizure$17,214$10,156$4,304
33773Opioid Abuse/Dependence$5,623$3,318$1,406
34175Percutaneous coronary intervention w/o AMI$56,292$33,212$14,073
35058Other Disorders of Nervous System$37,049$21,859$9,262
36249Other gastroenteritis, nausea & vomiting$16,448$9,704$4,112
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$16,414$9,684$4,104
39192Cardiac catheterization for other non-coronary conditions$31,053$18,321$7,763
40263Laparoscopic Cholecystectomy$44,124$26,033$11,031
41244Diverticulitis & Diverticulosis$17,011$10,036$4,253
42861Signs & SymptomsNRNRNR
43241Peptic Ulcer/Gastritis$23,980$14,148$5,995
44253Other and Unspecified Gastrointestinal Hemorrhage$9,105$5,372$2,276
45466Malfunction, reaction, complic of genitourinary device or procNRNRNR
46347Other Back/Neck Disorders, Fractures, Injuries$19,026$11,225$4,757
47313Other Knee/Lower Leg Surgery$33,470$19,747$8,368
48425Other Electrolyte DisordersNRNRNR
49181Lower Extremity Arterial ProceduresNRNRNR
50951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
51248Major G.I. Bacterial Infections$18,912$11,158$4,728
52024Extracranial Vascular ProceduresNRNRNR
53351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
54315Shoulder, upper arm & forearm procedures except joint replacementNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
57663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$22,793$13,448$5,698
58166Coronary bypass w/o AMI or complex PDX$138,709$81,838$34,677
59321Upper Spinal Fusion$65,045$38,377$16,261
60862Other Factors Influencing Health Status$29,919$17,652$7,480
61055Head trauma w coma >1 hr or hemorrhageNRNRNR
62197Peripheral and Other Vascular Disorders$9,525$5,620$2,381
63566Other Antepartum Diagnoses$5,351$3,157$1,338
64422Hypovolemia$13,815$8,151$3,454
65052Nontraumatic stupor & coma$22,909$13,516$5,727
66141AsthmaNRNRNR
67755Neuroses Other Than Depression$3,768$2,223$942
68721Postoperative and Post-Traumatic InfectionsNRNRNR
69225Appendectomy$35,542$20,970$8,886
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$9,732$5,742$2,433
71144Respiratory System Signs, Symptoms and Minor Diagnoses$18,692$11,028$4,673
72163Cardiac valve procedures w/o AMI or complex PDX$170,828$100,789$42,707
73204Fainting and Collapse$18,021$10,632$4,505
74199Hypertension$13,853$8,173$3,463
75696Other ChemotherapyNRNRNR

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:  October 2016 - September 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)$9,120$5,381$2,280$11,272$6,651$2,818
Colonoscopy and Biopsy (45380)$6,659$3,929$1,665$8,877$5,237$2,219
Lesion Removal Colonoscopy by Snare Technique (45385)$6,847$4,040$1,712$8,398$4,955$2,099
Upper GI Endoscopy with Biopsy (43239)$6,127$3,615$1,532$8,156$4,812$2,039
Diagnostic Colonoscopy (45378)$6,026$3,555$1,506$6,671$3,936$1,668
Injection into Lumbar or Sacral Area, Single Level (64483)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa (20610)NRNRNR$14,296$8,435$3,574
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,489$3,238$1,372NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,593$3,300$1,398NRNRNR
Carpal Tunnel Surgery (64721)$7,069$4,171$1,767$8,109$4,784$2,027
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$14,199$8,377$3,550$21,627$12,760$5,407
Uppr GI Endoscopy- Diagnostic (43235)$4,972$2,934$1,243$6,956$4,104$1,739
Creation of Eardrum Opening (69436)$9,684$5,714$2,421NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$6,744$3,979$1,686$8,515$5,024$2,129
Left Heart Artery/Ventricle Angiography (93458)$11,698$6,902$2,925$17,022$10,043$4,256
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNRNRNRNR
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$21,301$12,568$5,325$25,304$14,929$6,326
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$6,820$4,024$1,705$6,930$4,089$1,733
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNR$14,942$8,816$3,736
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair (29827)$24,669$14,555$6,167$24,475$14,440$6,119
Cataract Surgery- Complex (66982)$10,176$6,004$2,544NRNRNR
Hysteroscopy with Biopsy (58558)$14,977$8,836$3,744$16,379$9,664$4,095
Cystourethroscopy with Lithotripsy and Stent (52356)$19,666$11,603$4,916$22,097$13,037$5,524
Incision of Finger Tendon Sheath (26055)$6,894$4,068$1,724$7,604$4,487$1,901
Laparoscopic Hernia Repair - Initial (49650)$26,695$15,750$6,674$29,248$17,257$7,312
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$14,540$8,578$3,635$13,214$7,796$3,303
Unlisted Cystourethoscopy (52000)$9,019$5,321$2,255$7,912$4,668$1,978
Uppr GI Endoscopy with Guide Wire (43248)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$12,631$7,452$3,158$24,934$14,711$6,233
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions (17110)$15,230$8,986$3,808NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$13,986$8,252$3,497$16,323$9,631$4,081
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$22,749$13,422$5,687$25,477$15,031$6,369
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$9,831$5,800$2,458$15,682$9,253$3,921
Laparoscopy - Removal of Adnexal Structures (58661)$27,142$16,014$6,786$34,442$20,321$8,611
Mastectomy, Partial (19301)$17,148$10,117$4,287$28,136$16,600$7,034
Debridement Skin/Tissue (11042)$11,340$6,691$2,835NRNRNR
Laparoscopic Appendectomy (44970)$21,976$12,966$5,494$32,353$19,088$8,088
Laparoscopy, Removal of Tubes & Ovaries (58571)$38,170$22,520$9,542$51,218$30,218$12,804
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$15,253$8,999$3,813$31,081$18,338$7,770
Removal of Tonsils (42826)NRNRNRNRNRNR
Low Back Disk Surgery (63030)$26,778$15,799$6,695$24,841$14,656$6,210
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$28,512$16,822$7,128$27,477$16,212$6,869
Repair of Nasal Septum (30520)$10,632$6,273$2,658$10,994$6,486$2,748
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$11,576$6,830$2,894$14,767$8,713$3,692
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$15,851$9,352$3,963$25,253$14,900$6,313
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle (32405)NRNRNRNRNRNR
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$12,538$7,397$3,134$17,653$10,415$4,413
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)NRNRNRNRNRNR
Correction of Bunion (28296)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery (29824)NRNRNR$25,707$15,167$6,427
Angioplasty - peripheral segment of the dialysis circuit (36902)NRNRNRNRNRNR
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.