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 2013 - June 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,635$1,713$738
2560Vaginal Delivery$10,532$6,846$2,949
3720Blood Infection/Septicemia$10,208$6,635$2,858
4302Knee Replacement$46,246$30,060$12,949
5540Cesarean Delivery$16,759$10,893$4,693
6194Heart Failure$12,824$8,336$3,591
7139Pneumonia$9,273$6,027$2,596
8301Hip Replacement$48,725$31,671$13,643
9751Psychoses$8,586$5,581$2,404
10753Bipolar Disorders$9,043$5,878$2,532
11140Chronic Obstructive Pulmonary Disease$12,182$7,918$3,411
12201Heart Abnormal Rhythm and Conduction Disorders$8,483$5,514$2,375
13383Cellulitis and Other Bacterial Skin Infections$9,307$6,050$2,606
14775Alcohol Abuse/Dependence$8,742$5,682$2,448
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$14,592$9,485$4,086
17463Kidney/Urinary Tract Infection$12,244$7,959$3,428
18860Rehabilitation$22,603$14,692$6,329
19221Major Bowel Procedures$48,083$31,254$13,463
20133Pulmonary Edema/Respiratory FailureNRNRNR
21750Schizophrenia$12,836$8,343$3,594
22174Angioplasty with Heart Attack$52,104$33,868$14,589
23254Other Digestive System Diagnoses$11,066$7,193$3,098
24247Intestinal Obstruction without Surgery$13,476$8,759$3,773
25420Diabetes$12,772$8,302$3,576
26282Disorders of Pancreas Except Malignancy$15,279$9,931$4,278
27754Depression$5,079$3,301$1,422
28249Gastroenteritis$11,751$7,638$3,290
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$57,709$37,511$16,159
30812Poisoning of Medicinal Agents$6,894$4,481$1,930
31175Angioplasty without Heart Attack$54,049$35,132$15,134
32053Seizure$14,220$9,243$3,982
33137Respiratory Infections and InflammationsNRNRNR
34308Hip/Thigh Surgery with Trauma Diagnosis$35,241$22,907$9,867
35263Laparoscopic Cholecystectomy$30,156$19,601$8,444
36134Pulmonary Embolism$11,147$7,246$3,121
37173Other Vascular Procedures$41,032$26,671$11,489
38190Circulatory Disorders with Heart Attack$16,823$10,935$4,710
39347Other Back/Neck Disorders, Fractures, Injuries$11,738$7,630$3,287
40244Diverticulitis & Diverticulosis$12,631$8,210$3,537
41425Other Electrolyte Disorders$7,911$5,142$2,215
42315Shoulder/Upper Arm, Forearm Surgery$27,013$17,558$7,564
43241Peptic Ulcer/Gastritis$11,392$7,405$3,190
44861Signs & Symptoms$13,274$8,628$3,717
45313Other Knee/Lower Leg Surgery$30,696$19,952$8,595
46253Other and Unspecified Gastrointestinal Hemorrhage$9,717$6,316$2,721
47351Other Musculoskeletal System and Connective Tissue Diagnoses$14,649$9,522$4,102
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$14,264$9,272$3,994
49225Appendectomy$27,747$18,036$7,769
50248Major G.I. Bacterial Infections$12,631$8,210$3,537
51191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$17,152$11,149$4,803
52141Asthma$6,809$4,426$1,907
53024Extracranial Vascular Procedures$30,379$19,746$8,506
54192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$19,948$12,966$5,585
55721Postoperative and Post-Traumatic Infections$16,464$10,702$4,610
56321Upper Spinal Fusion$36,640$23,816$10,259
57197Peripheral and Other Vascular Disorders$7,067$4,594$1,979
58773Opioid Abuse/Dependence$9,308$6,050$2,606
59693Chemotherapy$35,506$23,079$9,942
60710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
61204Fainting and Collapse$5,663$3,681$1,586
62466Malfunction, reaction, complic of genitourinary device or proc$8,476$5,509$2,373
63566Other Antepartum Diagnoses$8,216$5,340$2,300
64021Craniotomy Except For Trauma$48,678$31,641$13,630
65198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$4,525$2,941$1,267
66144Respiratory System Signs, Symptoms and Minor Diagnoses$12,295$7,992$3,443
67310Back/Neck Procedures Except Dorsal and Lumbar Fusion$26,786$17,411$7,500
68163Heart Valve Procedures without Cardiac Catheterization$126,347$82,126$35,377
69143Other respiratory diagnoses except signs, symptoms & minor diagnoses$8,852$5,754$2,479
70052Nontraumatic stupor & coma$13,485$8,765$3,776
71513Uterine Procedures without Tumor$35,376$22,994$9,905
72422HypovolemiaNRNRNR
73755Neuroses Other Than Depression$4,988$3,242$1,397
74055Head trauma w coma >1 hr or hemorrhage$11,967$7,779$3,351
75165Coronary Bypass with Cardiac Catheterization$122,602$79,691$34,329

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 2013 - June 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)$7,354$4,780$2,059$9,200$5,980$2,576
Colonoscopy and Biopsy 45380)$5,336$3,468$1,494$6,631$4,310$1,857
Upper GI Endoscopy with Biopsy 43239)$5,018$3,262$1,405$6,331$4,115$1,773
Diagnostic Colonoscopy 45378)$4,615$3,000$1,292$5,808$3,775$1,626
Lesion Removal Colonoscopy by Snare Technique 45385)$5,396$3,507$1,511$6,486$4,216$1,816
Injection into Lumbar or Sacral Area, Single Level 64483)$5,501$3,576$1,540NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)$4,903$3,187$1,373$1,282$833$359
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,787$3,112$1,340NRNRNR
Carpal Tunnel Surgery 64721)$6,327$4,112$1,771$6,408$4,165$1,794
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,717$7,616$3,281$14,941$9,711$4,183
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,645$3,019$1,300NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,159$2,703$1,165$5,480$3,562$1,534
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,198$3,378$1,455$6,842$4,447$1,916
Left Heart Artery/Ventricle Angiography 93458)$8,548$5,557$2,394$30,912$20,093$8,655
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$8,539$5,550$2,391$7,839$5,095$2,195
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,758$12,843$5,532$21,446$13,940$6,005
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,410$8,067$3,475$28,572$18,572$8,000
Arthroscopic Rotator Cuff Repair 29827)$23,867$15,513$6,683$24,855$16,156$6,959
Cataract Surgery- Complex 66982)$8,320$5,408$2,330NRNRNR
Hysteroscopy with Biopsy 58558)$11,626$7,557$3,255$21,108$13,720$5,910
Unlisted Cystourethoscopy 52000)$3,649$2,372$1,022$6,092$3,960$1,706
Esophageal Endoscopy with Dilation 43249)$4,892$3,179$1,370$5,914$3,844$1,656
ABD Paracentesis w/Imaging 49083)$1,987$1,292$556NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,913$15,543$6,696$23,600$15,340$6,608
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,028$7,818$3,368$10,752$6,989$3,011
Incision of Finger Tendon Sheath 26055)$3,473$2,257$972$6,173$4,013$1,729
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,240$7,306$3,147$15,398$10,009$4,311
Uppr GI Endoscopy with Guide Wire 43248)NRNRNR$8,474$5,508$2,373
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$22,177$14,415$6,210$23,857$15,507$6,680
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,180$767$330$1,598$1,039$448
Repair of Nasal Septum 30520)NRNRNR$11,211$7,287$3,139
Percutaneous Breast Biopsy with Device and Imaging 19103)NRNRNR$7,237$4,704$2,026
Cystourethroscopy with Stent 52332)$10,215$6,640$2,860$12,887$8,377$3,608
Laparoscopic Appendectomy 44970)$23,050$14,982$6,454$29,864$19,412$8,362
Removal of Tonsils 42826)$8,382$5,449$2,347$14,013$9,108$3,924
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$30,593$19,886$8,566$32,203$20,932$9,017
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,807$8,974$3,866NRNRNR
Fragmenting of Kidney Stone 50590)NRNRNR$13,952$9,069$3,906
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$26,792$17,415$7,502$21,689$14,098$6,073
Hysteroscopy with Ablation 58563)$13,729$8,924$3,844$23,231$15,100$6,505
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Mastectomy, Partial 19301)$11,435$7,433$3,202$20,454$13,295$5,727
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$8,966$5,828$2,510$9,586$6,231$2,684
Colonoscopy with Lesion Removal 45383)$4,989$3,243$1,397$5,653$3,675$1,583
Correction of Bunion 28296)$12,090$7,858$3,385$15,210$9,887$4,259
Cystourethroscopy with Lithotripsy 52353)$13,259$8,618$3,713$16,011$10,407$4,483
Bone Marrow Biopsy 38221)$3,166$2,058$886$3,975$2,583$1,113
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$3,701$2,406$1,036NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$21,803$14,172$6,105$23,317$15,156$6,529
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$10,021$6,514$2,806$11,039$7,175$3,091
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)$4,708$3,060$1,318$3,626$2,357$1,015
Removal of Breast Lesion 19120)$13,186$8,571$3,692$21,958$14,273$6,148
Laparoscopy, Removal of Tubes & Ovaries 58571)$36,663$23,831$10,266$35,172$22,862$9,848
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$12,426$8,077$3,479$15,495$10,072$4,339
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$19,172$12,462$5,368$22,985$14,941$6,436
Shoulder Arthroscopy/Surgery 29824)$17,957$11,672$5,028$19,591$12,734$5,485
Debridement Skin/Tissue 11042)$8,573$5,573$2,401NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$16,901$10,986$4,732$16,331$10,615$4,573
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.