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 2013 - September 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,669$1,735$747
2560Vaginal Delivery$11,066$7,193$3,098
3720Blood Infection/Septicemia$10,208$6,635$2,858
4302Knee Replacement$46,234$30,052$12,946
5540Cesarean Delivery$17,611$11,447$4,931
6194Heart Failure$13,676$8,889$3,829
7139Pneumonia$10,981$7,138$3,075
8301Hip Replacement$48,785$31,710$13,660
9751Psychoses$9,408$6,115$2,634
10753Bipolar Disorders$8,949$5,817$2,506
11140Chronic Obstructive Pulmonary Disease$14,224$9,246$3,983
12201Heart Abnormal Rhythm and Conduction Disorders$8,862$5,760$2,481
13775Alcohol Abuse/Dependence$9,040$5,876$2,531
14383Cellulitis and Other Bacterial Skin Infections$8,345$5,424$2,337
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,004$10,403$4,481
17860Rehabilitation$27,107$17,620$7,590
18463Kidney/Urinary Tract Infection$16,033$10,421$4,489
19221Major Bowel Procedures$51,094$33,211$14,306
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$12,866$8,363$3,602
22174Angioplasty with Heart Attack$50,945$33,114$14,265
23254Other Digestive System Diagnoses$11,382$7,398$3,187
24247Intestinal Obstruction without Surgery$14,217$9,241$3,981
25282Disorders of Pancreas Except Malignancy$15,351$9,978$4,298
26420Diabetes$11,739$7,630$3,287
27754Depression$5,303$3,447$1,485
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$60,926$39,602$17,059
29249Gastroenteritis$12,779$8,306$3,578
30137Respiratory Infections and Inflammations$13,730$8,925$3,844
31812Poisoning of Medicinal Agents$9,890$6,429$2,769
32053Seizure$14,299$9,294$4,004
33308Hip/Thigh Surgery with Trauma Diagnosis$35,637$23,164$9,978
34134Pulmonary Embolism$10,717$6,966$3,001
35175Angioplasty without Heart Attack$61,524$39,991$17,227
36263Laparoscopic Cholecystectomy$30,653$19,924$8,583
37190Circulatory Disorders with Heart Attack$17,452$11,344$4,887
38173Other Vascular Procedures$50,955$33,121$14,267
39347Other Back/Neck Disorders, Fractures, Injuries$13,022$8,464$3,646
40244Diverticulitis & Diverticulosis$13,622$8,854$3,814
41425Other Electrolyte Disorders$9,343$6,073$2,616
42315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
43241Peptic Ulcer/Gastritis$12,688$8,247$3,553
44313Other Knee/Lower Leg Surgery$31,576$20,524$8,841
45861Signs & Symptoms$13,800$8,970$3,864
46141Asthma$6,809$4,426$1,907
47253Other and Unspecified Gastrointestinal HemorrhageNRNRNR
48351Other Musculoskeletal System and Connective Tissue Diagnoses$14,766$9,598$4,134
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,566$6,868$2,958
50248Major G.I. Bacterial Infections$14,048$9,131$3,933
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$15,501$10,076$4,340
52773Opioid Abuse/Dependence$8,921$5,799$2,498
53225Appendectomy$30,670$19,936$8,588
54710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
55024Extracranial Vascular Procedures$30,699$19,954$8,596
56721Postoperative and Post-Traumatic Infections$19,326$12,562$5,411
57321Upper Spinal Fusion$41,834$27,192$11,714
58197Peripheral and Other Vascular Disorders$4,103$2,667$1,149
59693Chemotherapy$35,506$23,079$9,942
60192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,774$12,203$5,257
61466Malfunction, reaction, complic of genitourinary device or procNRNRNR
62144Respiratory System Signs, Symptoms and Minor Diagnoses$15,149$9,847$4,242
63204Fainting and Collapse$6,833$4,441$1,913
64021Craniotomy Except For Trauma$48,678$31,641$13,630
65566Other Antepartum Diagnoses$8,216$5,340$2,300
66163Heart Valve Procedures without Cardiac Catheterization$127,408$82,815$35,674
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,852$5,754$2,479
68052Nontraumatic stupor & coma$13,485$8,765$3,776
69310Back/Neck Procedures Except Dorsal and Lumbar Fusion$27,417$17,821$7,677
70198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$9,782$6,358$2,739
71755Neuroses Other Than Depression$4,789$3,113$1,341
72422HypovolemiaNRNRNR
73165Coronary Bypass with Cardiac Catheterization$121,340$78,871$33,975
74660Major hematologic/immunologic diag exc sickle cell crisis & coagul$11,783$7,659$3,299
75055Head trauma w coma >1 hr or hemorrhage$11,967$7,779$3,351

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 2013 - September 2014
 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)$7,497$4,873$2,099$7,584$4,930$2,124
Colonoscopy and Biopsy 45380)$5,444$3,539$1,524$6,774$4,403$1,897
Upper GI Endoscopy with Biopsy 43239)$5,191$3,374$1,453$6,486$4,216$1,816
Diagnostic Colonoscopy 45378)$4,835$3,143$1,354$5,916$3,845$1,656
Lesion Removal Colonoscopy by Snare Technique 45385)$5,385$3,500$1,508$6,776$4,405$1,897
Injection into Lumbar or Sacral Area, Single Level 64483)$4,714$3,064$1,320$2,262$1,470$633
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)$5,140$3,341$1,439$1,224$795$343
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,971$3,231$1,392NRNRNR
Carpal Tunnel Surgery 64721)$6,408$4,165$1,794$6,091$3,959$1,706
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,814$7,679$3,308$25,109$16,321$7,031
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,752$3,089$1,331NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,233$2,751$1,185$5,593$3,636$1,566
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,517$3,586$1,545$7,488$4,867$2,097
Left Heart Artery/Ventricle Angiography 93458)$9,026$5,867$2,527$15,908$10,340$4,454
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$8,539$5,550$2,391NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,018$12,362$5,325$24,053$15,634$6,735
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,398$8,059$3,472$21,820$14,183$6,109
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$24,288$15,787$6,801
Cataract Surgery- Complex 66982)$8,422$5,474$2,358NRNRNR
Hysteroscopy with Biopsy 58558)$12,292$7,990$3,442$19,493$12,670$5,458
ABD Paracentesis w/Imaging 49083)$1,674$1,088$469NRNRNR
Unlisted Cystourethoscopy 52000)$3,671$2,386$1,028$7,878$5,121$2,206
Esophageal Endoscopy with Dilation 43249)$6,204$4,033$1,737$5,840$3,796$1,635
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$22,629$14,709$6,336$25,001$16,250$7,000
Incision of Finger Tendon Sheath 26055)$3,467$2,254$971$6,788$4,412$1,901
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,378$8,046$3,466NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,256$7,316$3,152$15,462$10,050$4,329
Uppr GI Endoscopy with Guide Wire 43248)$4,443$2,888$1,244$8,474$5,508$2,373
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,180$767$330$1,598$1,039$448
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$22,237$14,454$6,226$23,857$15,507$6,680
Laparoscopic Appendectomy 44970)$21,388$13,902$5,989$29,587$19,231$8,284
Cystourethroscopy with Stent 52332)$10,215$6,640$2,860$13,362$8,685$3,741
Repair of Nasal Septum 30520)NRNRNR$9,679$6,291$2,710
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNR$13,958$9,072$3,908
Low Back Disk Surgery 63030)$26,792$17,415$7,502$24,622$16,005$6,894
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$30,584$19,879$8,563$30,124$19,581$8,435
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,530$8,795$3,788$20,335$13,218$5,694
Removal of Tonsils 42826)NRNRNR$14,013$9,108$3,924
Cystourethroscopy with Lithotripsy and Stent 52356)$16,801$10,921$4,704$16,331$10,615$4,573
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$12,911$8,392$3,615$21,957$14,272$6,148
Hysteroscopy with Ablation 58563)$14,058$9,138$3,936$23,350$15,178$6,538
Coronary Artery Angio S&I 93454)$10,774$7,003$3,017$10,139$6,591$2,839
Biopsy breast w/stereotactic image; 1 lesion 19081)$8,984$5,839$2,515$10,930$7,104$3,060
Colonoscopy with Lesion Removal 45383)$5,036$3,273$1,410$7,146$4,645$2,001
Correction of Bunion 28296)$12,090$7,858$3,385$16,604$10,792$4,649
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)$3,129$2,034$876$3,061$1,989$857
Needle Biopsy of Liver 47000)$3,292$2,140$922NRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$22,143$14,393$6,200$24,451$15,893$6,846
Right and Left Heart Artery/Ventricle Angiography 93460)$10,176$6,614$2,849$12,621$8,204$3,534
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,707$23,860$10,278$36,707$23,860$10,278
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$13,554$8,810$3,795$21,242$13,808$5,948
Debridement Skin/Tissue 11042)$8,573$5,573$2,401NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$5,337$3,469$1,494$3,626$2,357$1,015
Shoulder Arthroscopy/Surgery 29824)$17,957$11,672$5,028$19,591$12,734$5,485
Repair of Hammertoe 28285)NRNRNR$15,147$9,846$4,241
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$12,426$8,077$3,479$16,683$10,844$4,671
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$19,172$12,462$5,368$22,778$14,805$6,378
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.