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: January 2013 - December 2013
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,546$1,680$738
2560Vaginal Delivery$10,410$6,871$3,019
3302Knee Replacement$43,756$28,879$12,689
4720Blood Infection/Septicemia$14,805$9,771$4,293
5540Cesarean Delivery$15,942$10,522$4,623
6139Pneumonia$8,281$5,465$2,401
7194Heart Failure$8,216$5,423$2,383
8301Hip Replacement$46,632$30,777$13,523
9751Psychoses$8,586$5,667$2,490
10753Bipolar Disorders$8,533$5,632$2,475
11140Chronic Obstructive Pulmonary Disease$11,015$7,270$3,194
12201Heart Abnormal Rhythm and Conduction Disorders$7,945$5,244$2,304
13383Cellulitis and Other Bacterial Skin Infections$7,783$5,137$2,257
14775Alchohol Abuse/Dependence$6,942$4,582$2,013
15460Renal FailureNRNRNR
16463Kidney/Urinary Tract Infection$10,446$6,894$3,029
17045Stroke and Precerebral Occlusion with Infarct$14,108$9,311$4,091
18860Rehabilitation$22,291$14,712$6,464
19221Major Bowel Procedures$39,069$25,786$11,330
20174Angioplasty with Heart Attack$54,149$35,738$15,703
21750Schizophrenia$10,194$6,728$2,956
22133Pulmonary Edema/Respiratory FailureNRNRNR
23254Other Digestive System Diagnoses$9,122$6,021$2,645
24175Angioplasty without Heart Attack$50,615$33,406$14,678
25249Gastroenteritis$8,348$5,510$2,421
26247Intestinal Obstruction without Surgery$11,069$7,306$3,210
27420Diabetes$10,025$6,617$2,907
28754Depression$6,366$4,202$1,846
29812Poisoning of Medicinal Agents$5,830$3,848$1,691
30282Disorders of Pancreas Except Malignancy$12,619$8,329$3,660
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$50,269$33,178$14,578
32137Respiratory Infections and InflammationsNRNRNR
33053Seizure$12,993$8,575$3,768
34263Laparoscopic Cholecystectomy$29,974$19,783$8,692
35308Hip/Thigh Surgery with Trauma Diagnosis$35,969$23,740$10,431
36134Pulmonary Embolism$11,282$7,446$3,272
37173Other Vascular Procedures$40,969$27,040$11,881
38241Peptic Ulcer/Gastritis$12,727$8,400$3,691
39190Circulatory Disorders with Heart Attack$14,613$9,645$4,238
40425Other Electrolyte Disorders$9,445$6,234$2,739
41347Other Back/Neck Disorders, Fractures, Injuries$11,590$7,649$3,361
42313Other Knee/Lower Leg Surgery$27,292$18,013$7,915
43861Signs & Symptoms$5,775$3,812$1,675
44315Shoulder/Upper Arm, Forearm Surgery$27,013$17,829$7,834
45244Diverticulitis & Diverticulosis$9,364$6,180$2,716
46225Appendectomy$25,250$16,665$7,323
47253Other and Unspecified Gastrointestinal Hemorrhage$10,524$6,946$3,052
48192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,954$12,510$5,497
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,911$9,181$4,034
50141Asthma$6,479$4,276$1,879
51351Other Musculoskeletal System and Connective Tissue Diagnoses$16,389$10,817$4,753
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$18,803$12,410$5,453
53248Major G.I. Bacterial Infections$18,225$12,029$5,285
54024Extracranial Vascular Procedures$29,320$19,351$8,503
55198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$7,517$4,961$2,180
56321Upper Spinal Fusion$35,976$23,744$10,433
57197Peripheral and Other Vascular Disorders$5,460$3,604$1,583
58204Fainting and Collapse$5,663$3,738$1,642
59513Uterine Procedures without Tumor$29,309$19,344$8,500
60773Opioid Abuse/Dependence$7,169$4,732$2,079
61721Postoperative and Post-Traumatic Infections$12,892$8,509$3,739
62144Respiratory System Signs, Symptoms and Minor Diagnoses$12,990$8,573$3,767
63693ChemotherapyNRNRNR
64310Back/Neck Procedures Except Dorsal and Lumbar Fusion$22,357$14,756$6,484
65566Other Antepartum Diagnoses$4,232$2,793$1,227
66113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
67422Hypovolemia$4,866$3,212$1,411
68710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
69021Craniotomy Except For Trauma$45,967$30,338$13,330
70466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$8,476$5,594$2,458
71143Pneumothorax & Pleural Effusion$8,852$5,842$2,567
72163Heart Valve Procedures without Cardiac Catheterization$131,755$86,958$38,209
73055Head trauma w coma >1 hr or hemorrhage$13,185$8,702$3,824
74755Neuroses Other Than Depression$8,249$5,444$2,392
75047Transient Ischemia$12,296$8,115$3,566

NR = No Cases Reported
For billing and insurance concerns related to Community Memorial Hospital, please call (866) 223-6836.

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 2013 - December 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)$6,982$4,608$2,025$8,924$5,890$2,588
Colonoscopy and Biopsy (45380)$4,741$3,129$1,375$5,691$3,756$1,650
Diagnostic Colonoscopy (45378)$4,048$2,672$1,174$5,273$3,480$1,529
Upper GI Endoscopy with Biopsy (43239)$4,702$3,104$1,364$5,950$3,927$1,726
Lesion Removal Colonoscopy by Snare Technique (45385)$4,459$2,943$1,293$6,069$4,005$1,760
Injection into Lumbar or Sacral Area, Single Level (64483)$5,501$3,631$1,595NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa (20610)$4,500$2,970$1,305$1,182$780$343
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$4,481$2,957$1,299$4,911$3,241$1,424
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$11,310$7,465$3,280$12,935$8,537$3,751
Carpal Tunnel Surgery (64721)$5,733$3,784$1,663$7,094$4,682$2,057
Uppr GI Endoscopy- Diagnostic (43235)$4,124$2,722$1,196$5,404$3,566$1,567
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$4,485$2,960$1,301NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$5,023$3,316$1,457$5,237$3,457$1,519
Left Heart Artery/Ventricle Angiography (93458)$8,428$5,563$2,444$31,657$20,894$9,181
Creation of Eardrum Opening (69436)NRNRNR$10,854$7,164$3,148
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Laparoscopic Cholecystectomy (47562)$19,375$12,787$5,619$19,137$12,630$5,550
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
Percutaneous Breast Biopsy with Device and Imaging (19103)$8,668$5,721$2,514$7,192$4,747$2,086
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$12,133$8,008$3,518$17,112$11,294$4,963
Unlisted Cystourethoscopy (52000)$2,944$1,943$854$21,500$14,190$6,235
Arthroscopic Rotator Cuff Repair (29827)$23,867$15,752$6,921$24,009$15,846$6,963
Cataract Surgery- Complex (66982)$7,946$5,245$2,304$11,095$7,323$3,218
Hysteroscopy with Biopsy (58558)$10,258$6,770$2,975$17,907$11,819$5,193
Esophageal Endoscopy with Dilation (43249)$4,663$3,078$1,352$6,467$4,268$1,875
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$19,797$13,066$5,741$20,948$13,826$6,075
ABD Paracentesis w/Imaging (49083)$1,804$1,190$523NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$11,024$7,276$3,197$12,294$8,114$3,565
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$10,973$7,242$3,182$14,451$9,538$4,191
Incision of Finger Tendon Sheath (26055)$5,205$3,435$1,509$17,586$11,607$5,100
Cystourethroscopy with Lithotripsy (52353)$11,645$7,686$3,377$15,420$10,178$4,472
Uppr GI Endoscopy with Guide Wire (43248)$4,059$2,679$1,177$8,411$5,551$2,439
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial (49650)$20,469$13,510$5,936$22,011$14,527$6,383
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Imaging (19102)NRNRNR$7,272$4,799$2,109
Cystourethroscopy with Stent (52332)$7,290$4,811$2,114$12,330$8,138$3,576
Repair of Nasal Septum (30520)NRNRNR$11,006$7,264$3,192
Removal of Tonsils (42826)$8,382$5,532$2,431$14,013$9,248$4,064
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$29,704$19,605$8,614$31,288$20,650$9,073
Fragmenting of Kidney Stone (50590)NRNRNR$25,929$17,113$7,519
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$12,797$8,446$3,711$31,348$20,689$9,091
Laparoscopic Appendectomy (44970)$20,467$13,508$5,935$24,970$16,480$7,241
Low Back Disk Surgery (63030)NRNRNR$18,725$12,358$5,430
Correction of Bunion (28296)$10,969$7,239$3,181$15,210$10,039$4,411
Hysteroscopy with Ablation (58563)$13,566$8,954$3,934$19,734$13,025$5,723
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Colonoscopy with Lesion Removal (45383)$4,353$2,873$1,262$5,130$3,386$1,488
Mastectomy, Partial (19301)$9,873$6,517$2,863$19,380$12,791$5,620
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)$1,180$778$342$1,598$1,055$464
Needle Biopsy of Liver (47000)$3,640$2,402$1,055NRNRNR
Bone Marrow Biopsy (38221)$2,870$1,894$832$3,061$2,020$888
Remove Impacted Ear Wax (69210)NRNRNR$8,197$5,410$2,377
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$9,254$6,108$2,684$11,094$7,322$3,217
Laparoscopy - Removal of Adnexal Structures (58661)$20,198$13,331$5,857$23,317$15,389$6,762
Debridement, Open Wound <= 20 Square Centimeters (97597)$295$195$86NRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$9,901$6,534$2,871$11,197$7,390$3,247
Destruction (therapeutic injection) of muscles; extremity /trunk (64614)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years (36569)$5,337$3,522$1,548$3,626$2,393$1,052
Removal of Breast Lesion (19120)$9,219$6,084$2,673$17,408$11,489$5,048
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)NRNRNR$13,436$8,868$3,896
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNR$8,822$5,823$2,558
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$11,140$7,353$3,231NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$19,311$12,745$5,600$23,201$15,313$6,728
Removal of Central Venous Device w Port or Pump (36590)$5,878$3,879$1,705$31,293$20,653$9,075
Wrist Endoscopy/Surgical (29848)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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