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:  April 2013 - March 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,559$1,663$717
2560Vaginal Delivery$10,469$6,805$2,931
3302Knee Replacement$45,263$29,421$12,674
4720Blood Infection/Septicemia$14,805$9,623$4,145
5540Cesarean Delivery$16,464$10,702$4,610
6139Pneumonia$9,273$6,027$2,596
7194Heart Failure$12,330$8,015$3,452
8301Hip Replacement$47,344$30,774$13,256
9751Psychoses$8,754$5,690$2,451
10753Bipolar Disorders$9,116$5,925$2,552
11140Chronic Obstructive Pulmonary Disease$11,015$7,160$3,084
12201Heart Abnormal Rhythm and Conduction Disorders$7,674$4,988$2,149
13383Cellulitis and Other Bacterial Skin Infections$7,967$5,179$2,231
14775Alchohol Abuse/Dependence$7,527$4,893$2,108
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$14,440$9,386$4,043
17463Kidney/Urinary Tract Infection$11,467$7,454$3,211
18860Rehabilitation$22,300$14,495$6,244
19221Major Bowel Procedures$45,107$29,320$12,630
20750Schizophrenia$13,027$8,468$3,648
21133Pulmonary Edema/Respiratory FailureNRNRNR
22174Angioplasty with Heart Attack$53,111$34,522$14,871
23254Other Digestive System Diagnoses$9,942$6,462$2,784
24247Intestinal Obstruction without Surgery$11,864$7,712$3,322
25175Angioplasty without Heart Attack$51,522$33,489$14,426
26420Diabetes$12,454$8,095$3,487
27282Disorders of Pancreas Except Malignancy$13,132$8,536$3,677
28249Gastroenteritis$9,954$6,470$2,787
29754Depression$4,988$3,242$1,397
30812Poisoning of Medicinal Agents$5,830$3,790$1,632
31304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$52,970$34,431$14,832
32137Respiratory Infections and InflammationsNRNRNR
33053Seizure$14,142$9,192$3,960
34308Hip/Thigh Surgery with Trauma Diagnosis$35,969$23,380$10,071
35263Laparoscopic Cholecystectomy$31,666$20,583$8,866
36134Pulmonary Embolism$11,222$7,294$3,142
37173Other Vascular Procedures$41,032$26,671$11,489
38190Circulatory Disorders with Heart Attack$16,823$10,935$4,710
39425Other Electrolyte Disorders$9,343$6,073$2,616
40347Other Back/Neck Disorders, Fractures, Injuries$11,738$7,630$3,287
41315Shoulder/Upper Arm, Forearm Surgery$27,013$17,558$7,564
42241Peptic Ulcer/Gastritis$11,861$7,710$3,321
43244Diverticulitis & Diverticulosis$9,364$6,087$2,622
44861Signs & Symptoms$5,775$3,754$1,617
45313Other Knee/Lower Leg Surgery$33,003$21,452$9,241
46253Other and Unspecified Gastrointestinal Hemorrhage$10,302$6,696$2,885
47225Appendectomy$26,842$17,447$7,516
48663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$13,911$9,042$3,895
49351Other Musculoskeletal System and Connective Tissue Diagnoses$14,649$9,522$4,102
50248Major G.I. Bacterial Infections$12,631$8,210$3,537
51192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$18,954$12,320$5,307
52141Asthma$5,364$3,487$1,502
53191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$18,803$12,222$5,265
54024Extracranial Vascular Procedures$30,241$19,657$8,467
55773Opioid Abuse/Dependence$10,231$6,650$2,865
56321Upper Spinal Fusion$35,976$23,384$10,073
57197Peripheral and Other Vascular Disorders$5,460$3,549$1,529
58721Postoperative and Post-Traumatic Infections$14,678$9,541$4,110
59204Fainting and Collapse$9,294$6,041$2,602
60198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$4,525$2,941$1,267
61693ChemotherapyNRNRNR
62710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
63144Respiratory System Signs, Symptoms and Minor Diagnoses$12,990$8,444$3,637
64466Malfunctions, Reactions & Comp Of Gu Device, Graft Or Transplant$8,476$5,509$2,373
65310Back/Neck Procedures Except Dorsal and Lumbar Fusion$23,923$15,550$6,698
66566Other Antepartum Diagnoses$6,051$3,933$1,694
67513Uterine Procedures without Tumor$32,496$21,122$9,099
68021Craniotomy Except For Trauma$47,017$30,561$13,165
69163Heart Valve Procedures without Cardiac Catheterization$131,755$85,641$36,891
70143Pneumothorax & Pleural Effusion$9,418$6,122$2,637
71422Hypovolemia$4,866$3,163$1,362
72755Neuroses Other Than Depression$4,985$3,240$1,396
73052Nontraumatic stupor & coma$12,962$8,425$3,629
74055Head trauma w coma >1 hr or hemorrhage$12,406$8,064$3,474
75047Transient Ischemia$12,822$8,334$3,590

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:  April 2013 - March 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)$7,097$4,613$1,987$8,775$5,704$2,457
Colonoscopy and Biopsy 45380)$4,971$3,231$1,392$5,752$3,739$1,611
Upper GI Endoscopy with Biopsy 43239)$4,850$3,153$1,358$6,250$4,063$1,750
Diagnostic Colonoscopy 45378)$4,214$2,739$1,180$5,724$3,721$1,603
Lesion Removal Colonoscopy by Snare Technique 45385)$5,317$3,456$1,489$6,331$4,115$1,773
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)$4,500$2,925$1,260$1,224$795$343
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,533$2,946$1,269$4,911$3,192$1,375
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,436$7,433$3,202$13,203$8,582$3,697
Carpal Tunnel Surgery 64721)$6,089$3,958$1,705$6,408$4,165$1,794
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$4,485$2,915$1,256NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,214$2,739$1,180$5,405$3,513$1,513
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,163$3,356$1,446$5,510$3,582$1,543
Left Heart Artery/Ventricle Angiography 93458)$8,404$5,463$2,353$23,903$15,537$6,693
Creation of Eardrum Opening 69436)$8,539$5,550$2,391$10,854$7,055$3,039
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$21,071$13,696$5,900$19,137$12,439$5,358
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,448$8,091$3,486$17,112$11,123$4,791
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$23,867$15,513$6,683$24,566$15,968$6,879
Cataract Surgery- Complex 66982)$8,240$5,356$2,307NRNRNR
Unlisted Cystourethoscopy 52000)$2,944$1,914$824$13,796$8,967$3,863
Hysteroscopy with Biopsy 58558)$10,564$6,866$2,958$18,749$12,187$5,250
Percutaneous Breast Biopsy with Device and Imaging 19103)$8,668$5,634$2,427$7,214$4,689$2,020
Esophageal Endoscopy with Dilation 43249)$4,624$3,005$1,295$5,785$3,760$1,620
ABD Paracentesis w/Imaging 49083)$1,987$1,292$556NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,465$15,902$6,850$22,224$14,445$6,223
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$11,366$7,388$3,183$12,294$7,991$3,442
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$10,973$7,133$3,073$14,924$9,701$4,179
Incision of Finger Tendon Sheath 26055)$3,643$2,368$1,020$11,880$7,722$3,326
Uppr GI Endoscopy with Guide Wire 43248)$3,901$2,536$1,092$8,474$5,508$2,373
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$20,469$13,305$5,731$23,357$15,182$6,540
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Cystourethroscopy with Lithotripsy 52353)$12,893$8,381$3,610$15,881$10,322$4,447
Repair of Nasal Septum 30520)NRNRNR$11,211$7,287$3,139
Cystourethroscopy with Stent 52332)$6,793$4,416$1,902$11,505$7,478$3,221
Removal of Tonsils 42826)$8,382$5,449$2,347$14,013$9,108$3,924
Laparoscopic Appendectomy 44970)$26,496$17,223$7,419$27,473$17,858$7,693
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,704$19,308$8,317$31,379$20,396$8,786
Fragmenting of Kidney Stone 50590)NRNRNR$20,025$13,016$5,607
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,797$8,318$3,583NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$1,180$767$330$1,598$1,039$448
Low Back Disk Surgery 63030)$28,037$18,224$7,850$20,441$13,287$5,723
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$13,566$8,818$3,799$21,788$14,162$6,101
Correction of Bunion 28296)$10,969$7,130$3,071$17,476$11,360$4,893
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Mastectomy, Partial 19301)$9,873$6,418$2,765$19,766$12,848$5,535
Colonoscopy with Lesion Removal 45383)$4,989$3,243$1,397$5,653$3,675$1,583
Percutaneous Breast Biopsy with Imaging 19102)NRNRNR$7,272$4,727$2,036
Coronary Artery Angio S&I 93454)$8,198$5,328$2,295$9,032$5,871$2,529
Bone Marrow Biopsy 38221)$3,166$2,058$886$3,061$1,989$857
Needle Biopsy of Liver 47000)$3,354$2,180$939NRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$20,063$13,041$5,618$23,226$15,097$6,503
Right and Left Heart Artery/Ventricle Angiography 93460)$9,672$6,287$2,708$11,926$7,752$3,339
Insertion of Central Venous Catheter >= 5 years 36569)$4,708$3,060$1,318$3,626$2,357$1,015
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$11,288$7,337$3,161$22,296$14,492$6,243
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$11,773$7,652$3,296$15,138$9,840$4,239
Debridement, Open Wound <= 20 Square Centimeters 97597)$329$214$92NRNRNR
Removal of Central Venous Device w Port or Pump 36590)$5,878$3,821$1,646NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$8,573$5,573$2,401NRNRNR
Knee Arthroscopy/Surgery with Shaving of Cartilage 29877)$11,709$7,611$3,278NRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$19,956$12,971$5,588$22,985$14,941$6,436
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.