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 2016 - March 2017
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,142$1,885$660
2560Vaginal Delivery$14,530$8,718$3,051
3720Blood Infection/Septicemia$14,132$8,479$2,968
4302Knee Replacement$43,369$26,021$9,107
5540Cesarean Delivery$19,189$11,513$4,030
6194Heart Failure$13,316$7,990$2,796
7301Hip Replacement$44,913$26,948$9,432
8751Psychoses$8,257$4,954$1,734
9139Pneumonia$19,427$11,656$4,080
10140Chronic Obstructive Pulmonary Disease$10,604$6,362$2,227
11753Bipolar Disorders$7,481$4,489$1,571
12775Alcohol Abuse/Dependence$7,636$4,582$1,604
13201Heart Abnormal Rhythm and Conduction Disorders$10,314$6,188$2,166
14383Cellulitis & other skin infections$12,718$7,631$2,671
15045Stroke and Precerebral Occlusion with Infarct$16,864$10,118$3,541
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$18,268$10,961$3,836
18221Major Bowel Procedures$51,338$30,803$10,781
19174Percutaneous coronary intervention w AMI$69,247$41,548$14,542
20750Schizophrenia$12,298$7,379$2,583
21754Depression$7,181$4,309$1,508
22420Diabetes$17,074$10,244$3,586
23282Disorders of Pancreas Except Malignancy$21,332$12,799$4,480
24247Intestinal Obstruction without Surgery$18,945$11,367$3,978
25254Other Digestive System Diagnoses$19,301$11,581$4,053
26812Poisoning of Medicinal Agents$14,419$8,651$3,028
27710Infectious & parasitic diseases including HIV w O.R. procedure$52,920$31,752$11,113
28773Opioid Abuse/Dependence$6,420$3,852$1,348
29308Hip & femur fracture repair$43,704$26,222$9,178
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$88,048$52,829$18,490
31190Circulatory Disorders with Heart Attack$24,138$14,483$5,069
32053Seizure$24,174$14,504$5,077
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous System$41,171$24,703$8,646
35175Percutaneous coronary intervention w/o AMI$65,858$39,515$13,830
36249Other gastroenteritis, nausea & vomiting$24,826$14,896$5,213
37460Renal FailureNRNRNR
38134Pulmonary Embolism$13,191$7,915$2,770
39263Laparoscopic Cholecystectomy$40,296$24,178$8,462
40244Diverticulitis & Diverticulosis$18,200$10,920$3,822
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$8,917$5,350$1,873
43347Other Back/Neck Disorders, Fractures, Injuries$15,719$9,431$3,301
44315Shoulder, upper arm & forearm procedures except joint replacement$34,848$20,909$7,318
45253Other and Unspecified Gastrointestinal Hemorrhage$15,933$9,560$3,346
46241Peptic Ulcer/Gastritis$22,169$13,301$4,655
47313Other Knee/Lower Leg Surgery$30,197$18,118$6,341
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$27,529$16,517$5,781
50351Other Musculoskeletal System and Connective Tissue Diagnoses$14,016$8,410$2,943
51425Other Electrolyte Disorders$6,736$4,042$1,415
52248Major G.I. Bacterial Infections$16,091$9,655$3,379
53951Moderately Extensive Procedure Unrelated to Diagnosis$19,444$11,666$4,083
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$24,223$14,534$5,087
55862Other Factors Influencing Health Status$27,239$16,343$5,720
56024Extracranial Vascular ProceduresNRNRNR
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal Fusion$47,680$28,608$10,013
60566Other Antepartum Diagnoses$6,658$3,995$1,398
61197Peripheral and Other Vascular DisordersNRNRNR
62422Hypovolemia$13,016$7,810$2,733
63055Head trauma w coma >1 hr or hemorrhage$13,878$8,327$2,914
64173Other Vascular ProceduresNRNRNR
65052Nontraumatic stupor & coma$11,142$6,685$2,340
66225Appendectomy$34,648$20,789$7,276
67141Asthma$7,655$4,593$1,608
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than Depression$4,434$2,660$931
71191Cardiac catheterization for coronary artery disease$23,079$13,847$4,847
72220Major Stomach/Esophagus/Duodenum Procedures$49,008$29,405$10,292
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$15,912$9,547$3,342
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR

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 2016 - March 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)$8,679$5,208$1,823$10,486$6,292$2,202
Colonoscopy and Biopsy 45380)$6,592$3,955$1,384$7,720$4,632$1,621
Lesion Removal Colonoscopy by Snare Technique 45385)$6,435$3,861$1,351$6,769$4,062$1,422
Upper GI Endoscopy with Biopsy 43239)$6,033$3,620$1,267$8,077$4,846$1,696
Diagnostic Colonoscopy 45378)$5,908$3,545$1,241NRNRNR
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$14,663$8,798$3,079
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,558$3,335$1,167NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,553$3,332$1,166$8,257$4,954$1,734
Carpal Tunnel Surgery 64721)$6,883$4,130$1,445$7,735$4,641$1,624
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,888$8,333$2,917$26,161$15,697$5,494
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,718$2,831$991$6,884$4,131$1,446
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,688$4,013$1,404$8,403$5,042$1,765
Creation of Eardrum Opening 69436)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$11,580$6,948$2,432$26,416$15,850$5,547
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)$2,015$1,209$423$2,015$1,209$423
Laparoscopic Cholecystectomy 47562)$20,924$12,555$4,394$27,939$16,763$5,867
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$6,158$3,695$1,293$6,432$3,859$1,351
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$24,475$14,685$5,140
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$13,511$8,107$2,837
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$14,016$8,410$2,943$15,088$9,053$3,168
Cataract Surgery- Complex 66982)$9,628$5,777$2,022NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$20,330$12,198$4,269$25,677$15,406$5,392
Incision of Finger Tendon Sheath 26055)$6,748$4,049$1,417$7,739$4,643$1,625
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,568$8,741$3,059$18,962$11,377$3,982
Laparoscopic Hernia Repair - Initial 49650)$28,214$16,928$5,925$29,248$17,549$6,142
Unlisted Cystourethoscopy 52000)$8,600$5,160$1,806$9,703$5,822$2,038
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)$13,239$7,944$2,780$19,136$11,482$4,019
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,224$13,934$4,877$23,359$14,016$4,905
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,814$8,288$2,901$16,323$9,794$3,428
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$10,707$6,424$2,248$16,822$10,093$3,533
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,142$16,285$5,700$31,066$18,640$6,524
Mastectomy, Partial 19301)$16,563$9,938$3,478$25,873$15,524$5,433
Laparoscopic Appendectomy 44970)$23,072$13,843$4,845$31,270$18,762$6,567
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,778$8,867$3,103$30,700$18,420$6,447
Removal of Tonsils 42826)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,622$21,373$7,481$48,769$29,261$10,242
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$30,243$18,146$6,351$27,477$16,486$5,770
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$27,132$16,279$5,698$28,142$16,885$5,910
Repair of Nasal Septum 30520)$10,632$6,379$2,233NRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$10,978$6,587$2,305$16,051$9,630$3,371
Fragmenting of Kidney Stone 50590)NRNRNR$15,026$9,016$3,156
Coronary Artery Angio S&I 93454)$11,576$6,946$2,431$20,091$12,054$4,219
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$14,623$8,774$3,071$25,253$15,152$5,303
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$19,184$11,510$4,029
Removal of Adenoids 42830)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,330$7,398$2,589$27,210$16,326$5,714
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)NRNRNR$14,350$8,610$3,013
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$17,574$10,545$3,691$16,778$10,067$3,523
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.