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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2012 - September 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,502$1,651$726
2560Vaginal Delivery$10,228$6,750$2,966
3302Knee Replacement$42,592$28,111$12,352
4720Blood Infection/Septicemia$11,486$7,581$3,331
5540Cesarean Delivery$15,602$10,297$4,525
6139Pneumonia$8,178$5,397$2,372
7194Heart Failure$7,565$4,993$2,194
8301Hip Replacement$44,716$29,513$12,968
9751Psychoses$8,005$5,283$2,321
10140Chronic Obstructive Pulmonary Disease$8,734$5,764$2,533
11753Bipolar Disorders$8,563$5,652$2,483
12201Heart Abnormal Rhythm and Conduction Disorders$7,945$5,244$2,304
13383Cellulitis and Other Bacterial Skin Infections$10,314$6,807$2,991
14775Alchohol Abuse/Dependence$6,689$4,415$1,940
15460Renal FailureNRNRNR
16463Kidney/Urinary Tract Infection$10,446$6,894$3,029
17045Stroke and Precerebral Occlusion with Infarct$12,822$8,463$3,718
18860Rehabilitation$20,267$13,376$5,877
19221Major Bowel Procedures$37,510$24,757$10,878
20175Angioplasty without Heart Attack$46,345$30,588$13,440
21174Angioplasty with Heart Attack$51,366$33,902$14,896
22750Schizophrenia$7,521$4,964$2,181
23254Other Digestive System Diagnoses$11,542$7,618$3,347
24133Pulmonary Edema/Respiratory FailureNRNRNR
25249Gastroenteritis$11,996$7,917$3,479
26247Intestinal Obstruction without Surgery$10,878$7,179$3,155
27420Diabetes$9,748$6,434$2,827
28754Depression$6,070$4,006$1,760
29812Poisoning of Medicinal Agents$5,830$3,848$1,691
30282Disorders of Pancreas Except Malignancy$15,285$10,088$4,433
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$49,511$32,677$14,358
32137Respiratory Infections and InflammationsNRNRNR
33053Seizure$6,623$4,371$1,921
34263Laparoscopic Cholecystectomy$27,867$18,392$8,081
35134Pulmonary Embolism$11,342$7,486$3,289
36308Hip/Thigh Surgery with Trauma Diagnosis$35,595$23,493$10,323
37173Other Vascular Procedures$39,830$26,288$11,551
38241Peptic Ulcer/Gastritis$13,173$8,694$3,820
39861Signs & Symptoms$7,347$4,849$2,131
40244Diverticulitis & Diverticulosis$9,048$5,972$2,624
41190Circulatory Disorders with Heart Attack$17,614$11,625$5,108
42425Other Electrolyte Disorders$9,313$6,147$2,701
43347Other Back/Neck Disorders, Fractures, Injuries$12,199$8,051$3,538
44313Other Knee/Lower Leg Surgery$25,073$16,548$7,271
45315Shoulder/Upper Arm, Forearm Surgery$27,013$17,829$7,834
46225Appendectomy$24,230$15,992$7,027
47192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,892$12,469$5,479
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,446$8,214$3,609
49141Asthma$5,994$3,956$1,738
50351Other Musculoskeletal System and Connective Tissue Diagnoses$13,066$8,624$3,789
51253Other and Unspecified Gastrointestinal Hemorrhage$10,524$6,946$3,052
52513Uterine Procedures without Tumor$28,082$18,534$8,144
53198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$10,550$6,963$3,060
54191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$22,716$14,993$6,588
55204Fainting and Collapse$12,678$8,367$3,677
56248Major G.I. Bacterial Infections$13,716$9,053$3,978
57321Upper Spinal Fusion$36,607$24,161$10,616
58024Extracranial Vascular Procedures$28,836$19,032$8,362
59197Peripheral and Other Vascular Disorders$5,866$3,872$1,701
60144Respiratory System Signs, Symptoms and Minor Diagnoses$12,990$8,573$3,767
61773Opioid Abuse/Dependence$6,420$4,237$1,862
62721Postoperative and Post-Traumatic Infections$8,849$5,840$2,566
63310Back/Neck Procedures Except Dorsal and Lumbar Fusion$20,775$13,712$6,025
64693ChemotherapyNRNRNR
65566Other Antepartum Diagnoses$4,576$3,020$1,327
66113Epiglottitis, Ear Infection, URI and Laryngotracheitis$8,830$5,828$2,561
67422Hypovolemia$4,661$3,076$1,352
68710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
69021Craniotomy Except For Trauma$44,918$29,646$13,026
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$8,476$5,594$2,458
71047Transient Ischemia$11,770$7,768$3,413
72143Pneumothorax & Pleural Effusion$10,062$6,641$2,918
73755Neuroses Other Than Depression$6,197$4,090$1,797
74055Head trauma w coma >1 hr or hemorrhage$13,185$8,702$3,824
75163Heart Valve Procedures without Cardiac Catheterization$129,051$85,174$37,425

NR = No Cases Reported
For billing and insurance concerns related to Community Memorial Hospital, please call 262-257-3850

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 2012 - September 2013
  With No Other Procedures With 1 or More Additional Procedures
Principal Procedure Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment* Median Charge Average Commercial Insurance Payment Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 (66984)$6,818$4,500$1,977$8,557$5,647$2,481
Colonoscopy and Biopsy (45380)$4,622$3,050$1,340$5,524$3,646$1,602
Diagnostic Colonoscopy (45378)$3,924$2,590$1,138$5,571$3,677$1,616
Upper GI Endoscopy with Biopsy (43239)$4,666$3,080$1,353$6,058$3,998$1,757
Lesion Removal Colonoscopy by Snare Technique (45385)$4,409$2,910$1,279$5,297$3,496$1,536
Injection into Lumbar or Sacral Area, Single Level (64483)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$1,415$934$410NRNRNR
Drain/Inject Major Joint or Bursa (20610)$4,234$2,794$1,228$1,141$753$331
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$4,149$2,738$1,203$4,911$3,241$1,424
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$10,714$7,071$3,107$12,753$8,417$3,698
Carpal Tunnel Surgery (64721)$5,533$3,652$1,605$8,471$5,591$2,457
Uppr GI Endoscopy- Diagnostic (43235)$4,061$2,681$1,178$5,364$3,540$1,556
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,187$2,764$1,214NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$4,721$3,116$1,369$5,253$3,467$1,523
Creation of Eardrum Opening (69436)NRNRNR$10,854$7,164$3,148
Left Heart Artery/Ventricle Angiography  (93458)$8,576$5,660$2,487$14,316$9,448$4,152
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$17,968$11,859$5,211$17,518$11,562$5,080
Unlisted Dental Surgery Procedure (41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)NRNRNRNRNRNR
After Cataract Laser Surgery (66821)$1,575$1,039$457NRNRNR
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$10,950$7,227$3,176$14,729$9,721$4,271
Percutaneous Breast Biopsy with Device and Imaging (19103)$7,072$4,667$2,051$6,987$4,611$2,026
Unlisted Cystourethoscopy (52000)$3,052$2,015$885$22,030$14,540$6,389
Cataract Surgery- Complex (66982)$7,745$5,112$2,246$11,095$7,323$3,218
Arthroscopic Rotator Cuff Repair (29827)$23,867$15,752$6,921$22,803$15,050$6,613
Hysteroscopy with Biopsy (58558)$9,927$6,552$2,879$14,993$9,896$4,348
Esophageal Endoscopy with Dilation (43249)$4,731$3,122$1,372$5,394$3,560$1,564
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$15,179$10,018$4,402$18,702$12,343$5,424
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$10,441$6,891$3,028$12,294$8,114$3,565
ABD Paracentesis w/Imaging (49083)$2,564$1,692$743NRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$8,741$5,769$2,535$14,451$9,538$4,191
Incision of Finger Tendon Sheath (26055)$3,807$2,513$1,104NRNRNR
Uppr GI Endoscopy with Guide Wire (43248)$3,901$2,575$1,131$4,556$3,007$1,321
Cystourethroscopy with Lithotripsy (52353)$12,893$8,509$3,739$14,846$9,798$4,305
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$19,537$12,894$5,666$21,168$13,971$6,139
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Repair of Nasal Septum (30520)NRNRNR$11,006$7,264$3,192
Cystourethroscopy with Stent (52332)$7,549$4,982$2,189$12,887$8,506$3,737
Removal of Tonsils (42826)$8,382$5,532$2,431NRNRNR
Percutaneous Breast Biopsy with Imaging (19102)NRNRNR$7,253$4,787$2,103
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$28,816$19,018$8,357$31,115$20,536$9,023
Fragmenting of Kidney Stone (50590)NRNRNR$26,012$17,168$7,544
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$12,797$8,446$3,711$31,348$20,689$9,091
Laparoscopic Appendectomy (44970)$20,077$13,251$5,822$22,740$15,008$6,595
Hysteroscopy with Ablation (58563)$13,206$8,716$3,830$16,278$10,743$4,721
Correction of Bunion (28296)$10,969$7,239$3,181$15,210$10,039$4,411
Low Back Disk Surgery (63030)NRNRNR$16,941$11,181$4,913
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$4,448$2,936$1,290$5,130$3,386$1,488
Needle Biopsy of Liver (47000)$3,354$2,214$973NRNRNR
Mastectomy, Partial (19301)$8,969$5,920$2,601$18,783$12,397$5,447
Remove Impacted Ear Wax (69210)NRNRNR$8,197$5,410$2,377
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)$2,865$1,891$831$3,806$2,512$1,104
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$765$505$222$1,653$1,091$479
Laparoscopy - Removal of Adnexal Structures (58661)$19,391$12,798$5,623$24,281$16,025$7,041
Insertion of Central Venous Catheter >= 5 years (36569)$4,079$2,692$1,183NRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$9,277$6,123$2,690$11,094$7,322$3,217
Right and Left Heart Artery/Ventricle Angiography (93460)$9,882$6,522$2,866$11,712$7,730$3,397
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$12,028$7,938$3,488
Removal of Breast Lesion (19120)$7,770$5,128$2,253$18,752$12,377$5,438
Debridement, Open Wound <= 20 Square Centimeters (97597)$312$206$91NRNRNR
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$8,822$5,823$2,558
Removal of Central Venous Device w Port or Pump (36590)$2,265$1,495$657$31,293$20,653$9,075
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$20,339$13,424$5,898$22,887$15,105$6,637
Repair Rotator Cuff, Chronic (23412)$14,409$9,510$4,178$17,666$11,660$5,123
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$10,484$6,919$3,040NRNRNR
Surgical Removal of Subcutaneous Tissue, <= 20 sq. cm. (11042)NRNRNRNRNRNR

NR = No Cases Reported
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.

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