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


  
Charges for 75 Most Common Types of Hospitalizations in Wisconsin: October 2011 - September 2012
(Uncomplicated Cases Only)
 
    Estimated Insurance Payments *
RankAPR- DRG DescriptionMedian  
Charge
 
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,320$1,554$742
2560Vaginal Delivery$8,713$5,838$2,788
3302Knee Replacement$37,566$25,169$12,021
4540Cesarean Delivery$14,995$10,047$4,798
5720Blood Infection/Septicemia$8,427$5,646$2,697
6139Pneumonia$11,404$7,641$3,649
7194Heart Failure$7,447$4,989$2,383
8301Hip Replacement$37,778$25,311$12,089
9753Bipolar Disorders$6,259$4,194$2,003
10751Psychoses$7,124$4,773$2,280
11201Heart Abnormal Rhythm and Conduction Disorders$7,304$4,894$2,337
12140Chronic Obstructive Pulmonary Disease$6,234$4,177$1,995
13775Alchohol Abuse/Dependence$5,774$3,869$1,848
14383Cellulitis and Other Bacterial Skin Infections$7,563$5,067$2,420
15463Kidney/Urinary Tract Infection$14,475$9,698$4,632
16460Renal Failure000
17860Rehabilitation$25,602$17,153$8,193
18045Stroke and Precerebral Occlusion with Infarct$15,140$10,144$4,845
19221Major Bowel Procedures$36,120$24,200$11,558
20175Angioplasty without Heart Attack$43,918$29,425$14,054
21750Schizophrenia$8,128$5,446$2,601
22249Gastroenteritis$7,979$5,346$2,553
23254Other Digestive System Diagnoses$10,383$6,957$3,323
24174Angioplasty with Heart Attack$43,004$28,813$13,761
25247Intestinal Obstruction without Surgery$10,709$7,175$3,427
26754Depression$6,246$4,185$1,999
27812Poisoning of Medicinal Agents$6,433$4,310$2,059
28133Pulmonary Edema/Respiratory Failure000
29420Diabetes$6,143$4,116$1,966
30137Respiratory Infections and Inflammations$9,754$6,535$3,121
31282Disorders of Pancreas Except Malignancy$12,274$8,224$3,928
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$49,534$33,188$15,851
33263Laparoscopic Cholecystectomy$24,975$16,733$7,992
34861Signs & Symptoms$4,214$2,823$1,348
35134Pulmonary Embolism$11,712$7,847$3,748
36053Seizure$8,267$5,539$2,645
37308Hip/Thigh Surgery with Trauma Diagnosis$30,877$20,688$9,881
38347Other Back/Neck Disorders, Fractures, Injuries$10,150$6,801$3,248
39225Appendectomy$21,186$14,195$6,780
40190Circulatory Disorders with Heart Attack$11,781$7,893$3,770
41513Uterine Procedures without Tumor$27,820$18,639$8,902
42173Other Vascular Procedures$35,943$24,082$11,502
43241Peptic Ulcer/Gastritis$10,810$7,243$3,459
44313Other Knee/Lower Leg Surgery$23,185$15,534$7,419
45244Diverticulitis & Diverticulosis$10,239$6,860$3,276
46192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$15,720$10,532$5,030
47425Other Electrolyte Disorders$7,597$5,090$2,431
48315Shoulder/Upper Arm, Forearm Surgery$25,518$17,097$8,166
49198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$8,082$5,415$2,586
50204Fainting and Collapse$7,381$4,945$2,362
51663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$10,506$7,039$3,362
52351Other Musculoskeletal System and Connective Tissue Diagnoses$5,871$3,934$1,879
53141Asthma$10,059$6,740$3,219
54248Major G.I. Bacterial Infections$8,752$5,864$2,801
55197Peripheral and Other Vascular Disorders$12,409$8,314$3,971
56253Other and Unspecified Gastrointestinal Hemorrhage$6,786$4,547$2,172
57310Back/Neck Procedures Except Dorsal and Lumbar Fusion$21,942$14,701$7,021
58321Upper Spinal Fusion$33,517$22,456$10,725
59191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$16,648$11,154$5,327
60024Extracranial Vascular Procedures$26,622$17,837$8,519
61721Postoperative and Post-Traumatic Infections$12,507$8,380$4,002
62773Opioid Abuse/Dependence$5,858$3,925$1,875
63144Respiratory System Signs, Symptoms and Minor Diagnoses$5,377$3,603$1,721
64693Chemotherapy$24,351$16,315$7,792
65422Hypovolemia$7,609$5,098$2,435
66566Other Antepartum Diagnoses$5,898$3,952$1,887
67755Neuroses Other Than Depression$5,846$3,917$1,871
68203Chest Pain$6,566$4,399$2,101
69047Transient Ischemia$14,669$9,828$4,694
70251Abdominal Pain$9,354$6,267$2,993
71143Pneumothorax & Pleural Effusion$14,277$9,566$4,569
72021Craniotomy Except For Trauma$30,193$20,229$9,662
73466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant000
74058Other Disorders of Nervous System$11,597$7,770$3,711
75710Infectious & parasitic diseases including HIV w O.R. procedure000

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 2011 - September 2012
  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)$6,901$4,624$2,208$7,131$4,778$2,282
Diagnostic Colonoscopy (45378)$3,083$2,066$987$3,614$2,421$1,156
Colonoscopy and Biopsy (45380)$3,810$2,553$1,219$4,478$3,001$1,433
Upper GI Endoscopy with Biopsy (43239)$3,870$2,593$1,238$4,799$3,215$1,536
Lesion Removal Colonoscopy by Snare Technique (45385)$4,126$2,764$1,320$4,703$3,151$1,505
Injection into Lumbar or Sacral Area, Single Level (64483)$1,818$1,218$582$3,408$2,283$1,090
Drain/Inject Major Joint or Bursa (20610)$991$664$317$1,135$760$363
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral (64493)$2,557$1,713$818$1,619$1,085$518
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy (29881)$9,441$6,326$3,021$10,014$6,709$3,204
Colorectal Cancer Screening; Colonscopy, Not High Risk (G0121)$3,067$2,055$981NRNRNR
Carpal Tunnel Surgery (64721)$5,308$3,556$1,698$5,675$3,802$1,816
Colorectal Cancer Screening ; Colonoscopy, High Risk (G0105)$3,707$2,483$1,186$3,643$2,441$1,166
Uppr GI Endoscopy- Diagnostic (43235)$3,456$2,315$1,106$4,289$2,873$1,372
Lesion Removal Colonoscopy by Hot Biopsy or Cautery (45384)$3,491$2,339$1,117$4,396$2,946$1,407
Creation of Eardrum Opening (69436)$4,864$3,259$1,556$5,640$3,778$1,805
Left Heart Artery/Ventricle Angiography  (93458)$8,486$5,686$2,716$13,742$9,207$4,398
Laparoscopic Cholecystectomy (47562)$14,061$9,421$4,499$13,965$9,357$4,469
Removal of Tonsils And Adenoids - < Age 12 (42820)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure (41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor (64490)$1,996$1,337$639NRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible (49505)$10,322$6,916$3,303$10,983$7,359$3,515
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral (64635)NRNRNRNRNRNR
Unlisted Cystourethoscopy (52000)$2,460$1,648$787$3,451$2,312$1,104
After Cataract Laser Surgery (66821)NRNRNRNRNRNR
Percutaneous Breast Biopsy with Device and Imaging (19103)$6,126$4,105$1,960$6,698$4,487$2,143
Hysteroscopy with Biopsy (58558)$9,317$6,242$2,981$9,699$6,499$3,104
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy (29880)$9,731$6,520$3,114$10,823$7,251$3,463
Cataract Surgery- Complex (66982)$7,649$5,125$2,448$8,317$5,572$2,661
Arthroscopic Rotator Cuff Repair (29827)$34,295$22,978$10,974$22,436$15,032$7,179
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct (47563)$14,726$9,866$4,712$16,517$11,066$5,285
Esophageal Endoscopy with Dilation (43249)$3,464$2,321$1,109$4,719$3,162$1,510
Uppr GI Endoscopy with Guide Wire (43248)$3,546$2,376$1,135$4,198$2,813$1,343
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) (20680)$8,290$5,554$2,653$10,966$7,347$3,509
Incision of Finger Tendon Sheath (26055)$2,825$1,893$904NRNRNR
Repair of Nasal Septum (30520)NRNRNR$8,940$5,990$2,861
Cystourethroscopy with Lithotripsy (52353)$12,111$8,114$3,875$13,384$8,968$4,283
Removal of Tonsils (42826)$10,059$6,740$3,219$11,052$7,405$3,537
Hysteroscopy with Ablation (58563)$10,836$7,260$3,468$10,386$6,959$3,324
Laparoscopic Hernia Repair - Initial (49650)$16,965$11,367$5,429$18,346$12,292$5,871
Shoulder Arthroscopy/Surgery with Decompression (29826)$11,873$7,955$3,800$14,971$10,031$4,791
Percutaneous Breast Biopsy with Imaging (19102)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible  (49585)$9,912$6,641$3,172$9,890$6,627$3,165
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair (29888)$24,896$16,680$7,967$27,021$18,104$8,647
Correction of Bunion (28296)$11,400$7,638$3,648$17,376$11,642$5,560
Colonoscopy with Lesion Removal (45383)$4,191$2,808$1,341$3,669$2,458$1,174
ABD Paracentesis w/Imaging (49083)$2,716$1,820$869NRNRNR
Destruction of Premalignant Lesion (17000)NRNRNRNRNRNR
Cystourethroscopy with Stent (52332)$7,214$4,834$2,309$12,203$8,176$3,905
Low Back Disk Surgery (63030)$16,803$11,258$5,377$17,027$11,408$5,449
Fragmenting of Kidney Stone (50590)NRNRNR$26,180$17,541$8,378
Laparoscopic Appendectomy (44970)$17,025$11,407$5,448$19,310$12,937$6,179
Destruction of Benign Lesions up to 14 Lesions (17110)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles (20552)NRNRNRNRNRNR
Needle Biopsy of Liver (47000)$3,158$2,116$1,011$2,944$1,973$942
Mohs Micrographic Tissue Removal (17311)NRNRNRNRNRNR
Mastectomy, Partial (19301)$9,516$6,376$3,045$17,415$11,668$5,573
Removal of Adenoids (42830)NRNRNR$6,764$4,532$2,164
Removal of Breast Lesion (19120)$6,714$4,499$2,149$9,828$6,585$3,145
Excision Breast Lesion with Preoperative Placement Radiological Marker (19125)$17,033$11,412$5,451$10,338$6,926$3,308
Bone Marrow Biopsy (38221)$2,203$1,476$705$2,290$1,534$733
Laparoscopy - Removal of Adnexal Structures (58661)$17,638$11,818$5,644$18,896$12,660$6,047
Insertion of Central Venous Catheter >= 5 years (36569)$2,409$1,614$771$4,502$3,016$1,441
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area (58662)$14,584$9,771$4,667$17,511$11,732$5,603
Remove Impacted Ear Wax (69210)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography (93460)$9,089$6,090$2,908$11,485$7,695$3,675
Biopsy Skin and Subcutaneous Tissue; 1 Lesion (11100)NRNRNRNRNRNR
Destruction by neurolytic agent , cervical/thoracic nerve area, single lev (64633)NRNRNRNRNRNR
Placement of Drug Eluting Stent, Single Vessel (G0290)$37,519$25,138$12,006$39,302$26,332$12,577
Knee Arthroscopy/Surgery with Shaving of Cartilage (29877)$9,730$6,519$3,114$10,217$6,845$3,269
Repair of Hammertoe (28285)$8,833$5,918$2,826$11,858$7,945$3,794
Repair Rotator Cuff, Chronic (23412)NRNRNR$12,698$8,507$4,063
Repair Bladder Defect (57288)$11,321$7,585$3,623$12,300$8,241$3,936
Removal of Central Venous Device w Port or Pump (36590)$1,428$956$457$9,392$6,293$3,006
Diagnostic Sigmoidoscopy (45330)$2,716$1,820$869NRNRNR
Insertion of temp bladder catheter  (51702)NRNRNRNRNRNR

NR = No Cases Reported
Information about quality and safety of care for Community Memorial Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.

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