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$1,854$786
2560Vaginal Delivery$14,530$8,573$3,633
3720Blood Infection/Septicemia$14,132$8,338$3,533
4302Knee Replacement$43,369$25,588$10,842
5540Cesarean Delivery$19,189$11,322$4,797
6194Heart Failure$13,316$7,856$3,329
7301Hip Replacement$44,913$26,499$11,228
8751Psychoses$8,257$4,872$2,064
9139Pneumonia$19,427$11,462$4,857
10140Chronic Obstructive Pulmonary Disease$10,604$6,256$2,651
11753Bipolar Disorders$7,481$4,414$1,870
12775Alcohol Abuse/Dependence$7,636$4,505$1,909
13201Heart Abnormal Rhythm and Conduction Disorders$10,314$6,085$2,579
14383Cellulitis & other skin infections$12,718$7,504$3,180
15045Stroke and Precerebral Occlusion with Infarct$16,864$9,950$4,216
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$18,268$10,778$4,567
18221Major Bowel Procedures$51,338$30,289$12,835
19174Percutaneous coronary intervention w AMI$69,247$40,856$17,312
20750Schizophrenia$12,298$7,256$3,075
21754Depression$7,181$4,237$1,795
22420Diabetes$17,074$10,074$4,269
23282Disorders of Pancreas Except Malignancy$21,332$12,586$5,333
24247Intestinal Obstruction without Surgery$18,945$11,178$4,736
25254Other Digestive System Diagnoses$19,301$11,388$4,825
26812Poisoning of Medicinal Agents$14,419$8,507$3,605
27710Infectious & parasitic diseases including HIV w O.R. procedure$52,920$31,223$13,230
28773Opioid Abuse/Dependence$6,420$3,788$1,605
29308Hip & femur fracture repair$43,704$25,785$10,926
30304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$88,048$51,948$22,012
31190Circulatory Disorders with Heart Attack$24,138$14,241$6,035
32053Seizure$24,174$14,263$6,044
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous System$41,171$24,291$10,293
35175Percutaneous coronary intervention w/o AMI$65,858$38,856$16,465
36249Other gastroenteritis, nausea & vomiting$24,826$14,647$6,207
37460Renal FailureNRNRNR
38134Pulmonary Embolism$13,191$7,783$3,298
39263Laparoscopic Cholecystectomy$40,296$23,775$10,074
40244Diverticulitis & Diverticulosis$18,200$10,738$4,550
41469Acute Kidney InjuryNRNRNR
42861Signs & Symptoms$8,917$5,261$2,229
43347Other Back/Neck Disorders, Fractures, Injuries$15,719$9,274$3,930
44315Shoulder, upper arm & forearm procedures except joint replacement$34,848$20,560$8,712
45253Other and Unspecified Gastrointestinal Hemorrhage$15,933$9,400$3,983
46241Peptic Ulcer/Gastritis$22,169$13,080$5,542
47313Other Knee/Lower Leg Surgery$30,197$17,816$7,549
48466Malfunction, reaction, complic of genitourinary device or procNRNRNR
49192Cardiac catheterization for other non-coronary conditions$27,529$16,242$6,882
50351Other Musculoskeletal System and Connective Tissue Diagnoses$14,016$8,269$3,504
51425Other Electrolyte Disorders$6,736$3,974$1,684
52248Major G.I. Bacterial Infections$16,091$9,494$4,023
53951Moderately Extensive Procedure Unrelated to Diagnosis$19,444$11,472$4,861
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$24,223$14,292$6,056
55862Other Factors Influencing Health Status$27,239$16,071$6,810
56024Extracranial Vascular ProceduresNRNRNR
57021Craniotomy Except For TraumaNRNRNR
58113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
59321Upper Spinal Fusion$47,680$28,131$11,920
60566Other Antepartum Diagnoses$6,658$3,928$1,665
61197Peripheral and Other Vascular DisordersNRNRNR
62422Hypovolemia$13,016$7,679$3,254
63055Head trauma w coma >1 hr or hemorrhage$13,878$8,188$3,470
64173Other Vascular ProceduresNRNRNR
65052Nontraumatic stupor & coma$11,142$6,574$2,786
66225Appendectomy$34,648$20,442$8,662
67141Asthma$7,655$4,516$1,914
68166Coronary bypass w/o AMI or complex PDXNRNRNR
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than Depression$4,434$2,616$1,109
71191Cardiac catheterization for coronary artery disease$23,079$13,617$5,770
72220Major Stomach/Esophagus/Duodenum Procedures$49,008$28,915$12,252
73143Other respiratory diagnoses except signs, symptoms & minor diagnoses$15,912$9,388$3,978
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$5,121$2,170$10,486$6,187$2,622
Colonoscopy and Biopsy 45380)$6,592$3,889$1,648$7,720$4,555$1,930
Lesion Removal Colonoscopy by Snare Technique 45385)$6,435$3,797$1,609$6,769$3,994$1,692
Upper GI Endoscopy with Biopsy 43239)$6,033$3,559$1,508$8,077$4,766$2,019
Diagnostic Colonoscopy 45378)$5,908$3,486$1,477NRNRNR
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$8,651$3,666
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,558$3,279$1,390NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,553$3,277$1,388$8,257$4,872$2,064
Carpal Tunnel Surgery 64721)$6,883$4,061$1,721$7,735$4,564$1,934
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,888$8,194$3,472$26,161$15,435$6,540
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,718$2,784$1,180$6,884$4,062$1,721
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,688$3,946$1,672$8,403$4,958$2,101
Creation of Eardrum Opening 69436)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$11,580$6,832$2,895$26,416$15,585$6,604
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$1,189$504$2,015$1,189$504
Laparoscopic Cholecystectomy 47562)$20,924$12,345$5,231$27,939$16,484$6,985
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$3,633$1,540$6,432$3,795$1,608
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$24,475$14,440$6,119
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$13,511$7,971$3,378
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$14,016$8,269$3,504$15,088$8,902$3,772
Cataract Surgery- Complex 66982)$9,628$5,681$2,407NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$20,330$11,995$5,083$25,677$15,150$6,419
Incision of Finger Tendon Sheath 26055)$6,748$3,982$1,687$7,739$4,566$1,935
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,568$8,595$3,642$18,962$11,187$4,740
Laparoscopic Hernia Repair - Initial 49650)$28,214$16,646$7,053$29,248$17,257$7,312
Unlisted Cystourethoscopy 52000)$8,600$5,074$2,150$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)$13,239$7,811$3,310$19,136$11,290$4,784
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,224$13,702$5,806$23,359$13,782$5,840
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,814$8,150$3,453$16,323$9,631$4,081
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$10,707$6,317$2,677$16,822$9,925$4,205
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$27,142$16,014$6,786$31,066$18,329$7,766
Mastectomy, Partial 19301)$16,563$9,772$4,141$25,873$15,265$6,468
Laparoscopic Appendectomy 44970)$23,072$13,613$5,768$31,270$18,450$7,818
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$14,778$8,719$3,695$30,700$18,113$7,675
Removal of Tonsils 42826)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,622$21,017$8,906$48,769$28,774$12,192
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$30,243$17,844$7,561$27,477$16,212$6,869
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Low Back Disk Surgery 63030)$27,132$16,008$6,783$28,142$16,603$7,035
Repair of Nasal Septum 30520)$10,632$6,273$2,658NRNRNR
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$6,477$2,744$16,051$9,470$4,013
Fragmenting of Kidney Stone 50590)NRNRNR$15,026$8,866$3,757
Coronary Artery Angio S&I 93454)$11,576$6,830$2,894$20,091$11,854$5,023
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$8,628$3,656$25,253$14,900$6,313
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$19,184$11,318$4,796
Removal of Adenoids 42830)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,330$7,275$3,083$27,210$16,054$6,802
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$8,466$3,587
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Repair of wrist joints 25447)$17,574$10,369$4,394$16,778$9,899$4,194
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.