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:   July 2016 - June 2017   (Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,172$1,871$793
2560Vaginal Delivery$14,708$8,678$3,677
3720Blood Infection/Septicemia$17,316$10,216$4,329
4302Knee Replacement$43,606$25,728$10,902
5194Heart Failure$13,316$7,856$3,329
6540Cesarean Delivery$19,404$11,448$4,851
7301Hip Replacement$44,886$26,483$11,222
8751Psychoses$8,087$4,771$2,022
9139Pneumonia$11,882$7,010$2,971
10140Chronic Obstructive Pulmonary Disease$10,604$6,256$2,651
11753Bipolar Disorders$9,192$5,423$2,298
12201Heart Abnormal Rhythm and Conduction Disorders$9,271$5,470$2,318
13775Alcohol Abuse/Dependence$7,294$4,303$1,824
14383Cellulitis & other skin infections$14,489$8,549$3,622
15045Stroke and Precerebral Occlusion with Infarct$18,141$10,703$4,535
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$20,158$11,893$5,040
18221Major Bowel Procedures$54,297$32,035$13,574
19174Percutaneous coronary intervention w AMI$67,836$40,023$16,959
20750Schizophrenia$11,585$6,835$2,896
21420Diabetes$17,074$10,074$4,269
22469Acute Kidney InjuryNRNRNR
23754Depression$7,330$4,325$1,833
24282Disorders of Pancreas Except Malignancy$22,387$13,208$5,597
25247Intestinal Obstruction without Surgery$16,889$9,965$4,222
26254Other Digestive System Diagnoses$19,321$11,399$4,830
27812Poisoning of Medicinal Agents$14,255$8,410$3,564
28308Hip & femur fracture repair$44,444$26,222$11,111
29710Infectious & parasitic diseases including HIV w O.R. procedure$52,920$31,223$13,230
30773Opioid Abuse/Dependence$5,623$3,318$1,406
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$65,484$38,636$16,371
32190Circulatory Disorders with Heart Attack$36,146$21,326$9,037
33053Seizure$20,694$12,209$5,174
34175Percutaneous coronary intervention w/o AMI$59,030$34,828$14,758
35249Other gastroenteritis, nausea & vomiting$16,448$9,704$4,112
36058Other Disorders of Nervous System$41,171$24,291$10,293
37137Respiratory Infections and InflammationsNRNRNR
38134Pulmonary Embolism$14,460$8,531$3,615
39263Laparoscopic Cholecystectomy$39,691$23,418$9,923
40244Diverticulitis & Diverticulosis$15,822$9,335$3,956
41192Cardiac catheterization for other non-coronary conditions$29,291$17,282$7,323
42861Signs & SymptomsNRNRNR
43347Other Back/Neck Disorders, Fractures, Injuries$19,099$11,268$4,775
44253Other and Unspecified Gastrointestinal Hemorrhage$15,933$9,400$3,983
45241Peptic Ulcer/Gastritis$23,075$13,614$5,769
46466Malfunction, reaction, complic of genitourinary device or procNRNRNR
47313Other Knee/Lower Leg Surgery$35,616$21,013$8,904
48425Other Electrolyte DisordersNRNRNR
49315Shoulder, upper arm & forearm procedures except joint replacement$34,848$20,560$8,712
50248Major G.I. Bacterial InfectionsNRNRNR
51351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
52951Moderately Extensive Procedure Unrelated to DiagnosisNRNRNR
53024Extracranial Vascular ProceduresNRNRNR
54113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
55021Craniotomy Except For TraumaNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$22,793$13,448$5,698
57862Other Factors Influencing Health Status$27,239$16,071$6,810
58321Upper Spinal Fusion$57,757$34,077$14,439
59566Other Antepartum Diagnoses$5,351$3,157$1,338
60055Head trauma w coma >1 hr or hemorrhage$13,878$8,188$3,470
61422Hypovolemia$13,016$7,679$3,254
62166Coronary bypass w/o AMI or complex PDX$138,709$81,838$34,677
63197Peripheral and Other Vascular DisordersNRNRNR
64181Lower Extremity Arterial ProceduresNRNRNR
65052Nontraumatic stupor & comaNRNRNR
66141Asthma$7,656$4,517$1,914
67460Renal FailureNRNRNR
68755Neuroses Other Than Depression$4,434$2,616$1,109
69225Appendectomy$32,683$19,283$8,171
70721Postoperative and Post-Traumatic InfectionsNRNRNR
71143Other respiratory diagnoses except signs, symptoms & minor diagnoses$23,807$14,046$5,952
72144Respiratory System Signs, Symptoms and Minor Diagnoses$18,692$11,028$4,673
73163Cardiac valve procedures w/o AMI or complex PDX$170,828$100,789$42,707
74204Fainting and Collapse$15,167$8,949$3,792
75639Neonate Birthwt >2499g with Other Significant Condition$9,293$5,483$2,323

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:  July 2016 - June 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)$9,010$5,316$2,253$11,702$6,904$2,925
Colonoscopy and Biopsy (45380)$6,597$3,892$1,649$8,234$4,858$2,058
Lesion Removal Colonoscopy by Snare Technique (45385)$6,325$3,732$1,581$7,610$4,490$1,903
Upper GI Endoscopy with Biopsy (43239)$6,044$3,566$1,511$8,100$4,779$2,025
Diagnostic Colonoscopy (45378)$5,977$3,526$1,494$6,671$3,936$1,668
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$14,296$8,435$3,574
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$5,559$3,280$1,390NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$5,553$3,277$1,388NRNRNR
Carpal Tunnel Surgery (64721)$7,076$4,175$1,769$8,109$4,784$2,027
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee (62323)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$14,068$8,300$3,517$26,161$15,435$6,540
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic (43235)$4,766$2,812$1,192$6,923$4,085$1,731
Creation of Eardrum Opening (69436)$9,684$5,714$2,421NRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$6,792$4,007$1,698$8,459$4,991$2,115
Left Heart Artery/Ventricle Angiography (93458)$11,496$6,783$2,874$17,022$10,043$4,256
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
Laparoscopic Cholecystectomy (47562)$21,241$12,532$5,310$25,304$14,929$6,326
ABD Paracentesis w/Imaging (49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion (19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation (43249)$6,623$3,907$1,656$6,786$4,004$1,697
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNR$15,201$8,969$3,800
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair (29827)$24,669$14,555$6,167$24,494$14,452$6,124
Hysteroscopy with Biopsy (58558)$14,540$8,579$3,635$15,088$8,902$3,772
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance (62321)NRNRNRNRNRNR
Cataract Surgery- Complex (66982)$9,836$5,803$2,459NRNRNR
Cystourethroscopy with Lithotripsy and Stent (52356)$19,918$11,752$4,980$26,089$15,392$6,522
Incision of Finger Tendon Sheath (26055)$6,817$4,022$1,704$7,739$4,566$1,935
Laparoscopic Hernia Repair - Initial (49650)$28,423$16,770$7,106$29,249$17,257$7,312
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$14,554$8,587$3,638$13,214$7,796$3,303
Unlisted Cystourethoscopy (52000)$8,181$4,827$2,045$9,703$5,725$2,426
Uppr GI Endoscopy with Guide Wire (43248)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic (64633)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$14,942$8,816$3,735$25,758$15,197$6,440
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$13,938$8,224$3,485$16,323$9,631$4,081
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$23,378$13,793$5,845$26,637$15,716$6,659
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion (19081)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$10,268$6,058$2,567$16,356$9,650$4,089
Laparoscopy - Removal of Adnexal Structures (58661)$26,560$15,670$6,640$32,144$18,965$8,036
Mastectomy, Partial (19301)$17,654$10,416$4,413$26,993$15,926$6,748
Debridement Skin/Tissue (11042)$13,526$7,980$3,381$16,051$9,470$4,013
Laparoscopic Appendectomy (44970)$21,976$12,966$5,494$32,212$19,005$8,053
Repair Umbilical Hernia, > = 5 Yrs - Reducible (49585)$14,778$8,719$3,695$31,430$18,544$7,857
Laparoscopy, Removal of Tubes & Ovaries (58571)$38,795$22,889$9,699$49,849$29,411$12,462
Removal of Tonsils (42826)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$29,583$17,454$7,396$27,310$16,113$6,828
Low Back Disk Surgery (63030)$27,135$16,010$6,784$30,278$17,864$7,569
Repair of Nasal Septum (30520)$10,632$6,273$2,658$10,994$6,486$2,748
Fragmenting of Kidney Stone (50590)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)NRNRNRNRNRNR
Wrist Endoscopy/Surgery (29848)NRNRNRNRNRNR
Coronary Artery Angio S&I (93454)$20,355$12,009$5,089$11,237$6,630$2,809
Aspirate Pleura with Imaging (32555)NRNRNRNRNRNR
Bone Marrow Biopsy (38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy (31575)NRNRNRNRNRNR
Hysteroscopy with Ablation (58563)$15,126$8,924$3,781$26,513$15,643$6,628
Injection of chemical agent into muscles near face/neck (64615)NRNRNRNRNRNR
Removal of Adenoids (42830)NRNRNRNRNRNR
Correction of Bunion (28296)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)$12,331$7,275$3,083$15,641$9,228$3,910
Shoulder Arthroscopy/Surgery (29824)NRNRNR$18,689$11,026$4,672
Exam of ear with microscope (92504)NRNRNRNRNRNR
Electro-Uroflowmetry - First (51741)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump (36590)$4,918$2,902$1,230$14,350$8,466$3,587
Arthrocentesis, aspiration and/or Inj. major joint or bursa; w/US guidance (20611)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.