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:  January 2014 - December 2014
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,680$1,742$750
2560Vaginal Delivery$11,263$7,321$3,154
3720Blood Infection/Septicemia$10,208$6,635$2,858
4302Knee Replacement$46,298$30,094$12,963
5540Cesarean Delivery$17,951$11,668$5,026
6194Heart Failure$13,685$8,895$3,832
7139Pneumonia$11,705$7,608$3,277
8301Hip Replacement$48,885$31,775$13,688
9751Psychoses$9,409$6,116$2,635
10753Bipolar Disorders$8,949$5,817$2,506
11140Chronic Obstructive Pulmonary Disease$14,358$9,333$4,020
12201Heart Abnormal Rhythm and Conduction Disorders$10,843$7,048$3,036
13775Alcohol Abuse/Dependence$9,338$6,070$2,615
14383Cellulitis and Other Bacterial Skin Infections$10,683$6,944$2,991
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$17,862$11,610$5,001
17463Kidney/Urinary Tract Infection$18,457$11,997$5,168
18860Rehabilitation$25,760$16,744$7,213
19221Major Bowel Procedures$51,200$33,280$14,336
20133Pulmonary Edema/Respiratory Failure$73,008$47,455$20,442
21750Schizophrenia$12,866$8,363$3,602
22174Angioplasty with Heart Attack$52,506$34,129$14,702
23254Other Digestive System Diagnoses$13,026$8,467$3,647
24247Intestinal Obstruction without Surgery$14,470$9,406$4,052
25282Disorders of Pancreas Except Malignancy$16,380$10,647$4,586
26420Diabetes$11,739$7,630$3,287
27754Depression$5,526$3,592$1,547
28249Gastroenteritis$13,295$8,642$3,723
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$62,456$40,596$17,488
30053Seizure$16,032$10,421$4,489
31137Respiratory Infections and Inflammations$13,730$8,925$3,844
32812Poisoning of Medicinal Agents$8,552$5,559$2,395
33308Hip/Thigh Surgery with Trauma Diagnosis$40,313$26,203$11,288
34134Pulmonary Embolism$11,109$7,221$3,111
35175Angioplasty without Heart Attack$61,643$40,068$17,260
36190Circulatory Disorders with Heart Attack$18,608$12,095$5,210
37173Other Vascular Procedures$44,691$29,049$12,513
38263Laparoscopic Cholecystectomy$29,083$18,904$8,143
39347Other Back/Neck Disorders, Fractures, Injuries$15,298$9,944$4,283
40244Diverticulitis & Diverticulosis$14,271$9,276$3,996
41425Other Electrolyte Disorders$9,693$6,300$2,714
42861Signs & Symptoms$13,800$8,970$3,864
43241Peptic Ulcer/Gastritis$14,188$9,222$3,973
44315Shoulder/Upper Arm, Forearm SurgeryNRNRNR
45313Other Knee/Lower Leg Surgery$33,003$21,452$9,241
46253Other and Unspecified Gastrointestinal Hemorrhage$21,517$13,986$6,025
47141Asthma$9,767$6,349$2,735
48351Other Musculoskeletal System and Connective Tissue Diagnoses$14,649$9,522$4,102
49663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,127$7,883$3,396
50248Major G.I. Bacterial Infections$15,163$9,856$4,246
51773Opioid Abuse/Dependence$9,455$6,146$2,647
52191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$22,906$14,889$6,414
53710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
54024Extracranial Vascular Procedures$31,025$20,166$8,687
55693Chemotherapy$35,506$23,079$9,942
56466Malfunction, reaction, complic of genitourinary device or procNRNRNR
57321Upper Spinal Fusion$42,062$27,340$11,777
58225Appendectomy$28,900$18,785$8,092
59721Postoperative and Post-Traumatic Infections$22,187$14,422$6,212
60197Peripheral and Other Vascular Disorders$7,067$4,594$1,979
61144Respiratory System Signs, Symptoms and Minor Diagnoses$26,142$16,992$7,320
62192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$19,589$12,733$5,485
63021Craniotomy Except For TraumaNRNRNR
64566Other Antepartum Diagnoses$11,700$7,605$3,276
65204Fainting and Collapse$10,131$6,585$2,837
66163Heart Valve Procedures without Cardiac Catheterization$127,408$82,815$35,674
67143Other respiratory diagnoses except signs, symptoms & minor diagnoses$11,859$7,708$3,321
68052Nontraumatic stupor & coma$13,388$8,702$3,749
69113Epiglottitis, Ear Infection, URI and LaryngotracheitisNRNRNR
70310Back/Neck Procedures Except Dorsal and Lumbar Fusion$34,171$22,211$9,568
71660Major hematologic/immunologic diag exc sickle cell crisis & coagul$11,783$7,659$3,299
72198Chest Pain with Angina Pectoris or Coronary Atherosclerosis$9,782$6,358$2,739
73755Neuroses Other Than Depression$4,199$2,729$1,176
74055Head trauma w coma >1 hr or hemorrhage$11,130$7,235$3,116
75422HypovolemiaNRNRNR

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:  January 2014 - December 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)$7,685$4,995$2,152$6,984$4,540$1,956
Colonoscopy and Biopsy 45380)$5,813$3,779$1,628$6,703$4,357$1,877
Upper GI Endoscopy with Biopsy 43239)$5,315$3,455$1,488$6,683$4,344$1,871
Diagnostic Colonoscopy 45378)$4,968$3,229$1,391$7,740$5,031$2,167
Lesion Removal Colonoscopy by Snare Technique 45385)$5,433$3,531$1,521$6,409$4,166$1,794
Injection into Lumbar or Sacral Area, Single Level 64483)$3,926$2,552$1,099$2,262$1,470$633
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNR$13,493$8,770$3,778
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$4,963$3,226$1,390NRNRNR
Carpal Tunnel Surgery 64721)$6,615$4,300$1,852$6,424$4,176$1,799
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$11,848$7,701$3,318$31,243$20,308$8,748
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,165$3,357$1,446NRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,478$2,911$1,254$5,782$3,758$1,619
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$5,774$3,753$1,617$6,928$4,503$1,940
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$9,196$5,977$2,575$15,143$9,843$4,240
Creation of Eardrum Opening 69436)$8,539$5,550$2,391NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$18,724$12,171$5,243$26,692$17,350$7,474
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$12,398$8,059$3,472$15,665$10,182$4,386
Cataract Surgery- Complex 66982)$8,642$5,617$2,420NRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$24,531$15,945$6,869
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$12,459$8,099$3,489$20,382$13,248$5,707
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$3,952$2,569$1,107$14,255$9,266$3,991
Esophageal Endoscopy with Dilation 43249)$6,204$4,033$1,737$5,372$3,492$1,504
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,715$14,115$6,080$25,001$16,250$7,000
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,256$7,316$3,152$15,740$10,231$4,407
Incision of Finger Tendon Sheath 26055)$3,419$2,223$957$6,788$4,412$1,901
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,114$3,974$1,712NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$12,247$7,961$3,429NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$17,175$11,163$4,809$16,433$10,682$4,601
Uppr GI Endoscopy with Guide Wire 43248)$4,443$2,888$1,244$4,684$3,045$1,312
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$22,486$14,616$6,296$23,565$15,317$6,598
Biopsy breast w/stereotactic image; 1 lesion 19081)$8,984$5,839$2,515$10,930$7,104$3,060
Laparoscopic Appendectomy 44970)$21,388$13,902$5,989$27,823$18,085$7,790
Cystourethroscopy with Stent 52332)$9,634$6,262$2,697$15,546$10,105$4,353
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNR$15,133$9,836$4,237
Repair of Nasal Septum 30520)NRNRNR$9,679$6,291$2,710
Low Back Disk Surgery 63030)$24,966$16,228$6,991$29,298$19,044$8,204
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$13,609$8,846$3,810$23,809$15,476$6,667
Removal of Tonsils 42826)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$26,335$17,117$7,374$32,203$20,932$9,017
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$29,154$18,950$8,163$10,139$6,591$2,839
Mastectomy, Partial 19301)$13,021$8,463$3,646$24,418$15,872$6,837
Hysteroscopy with Ablation 58563)$13,893$9,031$3,890$24,631$16,010$6,897
Apheresis Plasma 36514)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Needle Biopsy of Liver 47000)$3,292$2,140$922NRNRNR
Colonoscopy with Lesion Removal 45383)$5,044$3,278$1,412$7,146$4,645$2,001
Bone Marrow Biopsy 38221)$3,129$2,034$876NRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$23,176$15,064$6,489$28,141$18,292$7,879
Correction of Bunion 28296)$12,090$7,858$3,385$15,368$9,989$4,303
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,737$23,229$10,006$38,282$24,884$10,719
Debridement Skin/Tissue 11042)$9,012$5,858$2,523$12,023$7,815$3,366
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$10,197$6,628$2,855$12,792$8,315$3,582
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Breast Lesion 19120)$13,207$8,585$3,698$21,580$14,027$6,042
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Insertion of Central Venous Catheter >= 5 years 36569)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$7,413$4,819$2,076NRNRNR
Shoulder Arthroscopy/Surgery 29824)$17,438$11,335$4,883$20,303$13,197$5,685
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
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.