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 2015 - March 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$2,949$1,828$767
2560Vaginal Delivery$14,291$8,860$3,716
3720Blood Infection/Septicemia$16,853$10,449$4,382
4302Knee Replacement$43,928$27,235$11,421
5540Cesarean Delivery$18,630$11,551$4,844
6194Heart Failure$10,742$6,660$2,793
7301Hip Replacement$44,294$27,462$11,516
8139Pneumonia$11,149$6,912$2,899
9751Psychoses$10,512$6,517$2,733
10753Bipolar Disorders$7,093$4,398$1,844
11140Chronic Obstructive Pulmonary Disease$11,168$6,924$2,904
12775Alcohol Abuse/Dependence$6,230$3,863$1,620
13201Heart Abnormal Rhythm and Conduction Disorders$14,596$9,050$3,795
14383Cellulitis and Other Bacterial Skin Infections$10,959$6,795$2,849
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$18,960$11,755$4,930
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$11,829$7,334$3,076
19221Major Bowel Procedures$50,563$31,349$13,146
20174Angioplasty with Heart Attack$72,005$44,643$18,721
21754Depression$7,345$4,554$1,910
22247Intestinal Obstruction without Surgery$13,781$8,544$3,583
23750Schizophrenia$10,200$6,324$2,652
24420Diabetes$10,707$6,638$2,784
25282Disorders of Pancreas Except Malignancy$17,257$10,699$4,487
26254Other Digestive System Diagnoses$12,388$7,681$3,221
27812Poisoning of Medicinal Agents$5,911$3,665$1,537
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$61,529$38,148$15,998
29053Seizure$14,510$8,996$3,773
30137Respiratory Infections and InflammationsNRNRNR
31173Other Vascular Procedures$41,849$25,946$10,881
32249Gastroenteritis$12,023$7,454$3,126
33190Circulatory Disorders with Heart Attack$19,479$12,077$5,065
34134Pulmonary Embolism$12,467$7,730$3,241
35308Hip/Thigh Surgery with Trauma Diagnosis$37,509$23,256$9,752
36263Laparoscopic Cholecystectomy$31,930$19,797$8,302
37315Shoulder/Upper Arm, Forearm Surgery$35,422$21,962$9,210
38244Diverticulitis & Diverticulosis$15,225$9,440$3,959
39710Infectious & parasitic diseases including HIV w O.R. procedure$32,372$20,071$8,417
40773Opioid Abuse/Dependence$8,044$4,987$2,091
41860Rehabilitation$16,348$10,136$4,250
42175Angioplasty without Heart Attack$70,689$43,827$18,379
43861Signs & Symptoms$12,868$7,978$3,346
44425Other Electrolyte Disorders$34,717$21,525$9,026
45347Other Back/Neck Disorders, Fractures, Injuries$19,890$12,332$5,171
46241Peptic Ulcer/Gastritis$16,938$10,502$4,404
47253Other and Unspecified Gastrointestinal Hemorrhage$19,276$11,951$5,012
48313Other Knee/Lower Leg Surgery$38,767$24,036$10,079
49191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$20,103$12,464$5,227
50351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
51058Other Disorders of Nervous System$25,250$15,655$6,565
52248Major G.I. Bacterial Infections$20,922$12,972$5,440
53024Extracranial Vascular Procedures$35,174$21,808$9,145
54466Malfunction, reaction, complic of genitourinary device or proc$7,036$4,362$1,829
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,955$9,892$4,148
56141Asthma$9,186$5,695$2,388
57693ChemotherapyNRNRNR
58721Postoperative and Post-Traumatic InfectionsNRNRNR
59321Upper Spinal Fusion$44,232$27,424$11,500
60197Peripheral and Other Vascular Disorders$12,080$7,490$3,141
61021Craniotomy Except For TraumaNRNRNR
62225Appendectomy$29,379$18,215$7,639
63566Other Antepartum Diagnoses$10,087$6,254$2,623
64055Head trauma w coma >1 hr or hemorrhage$15,564$9,650$4,047
65755Neuroses Other Than Depression$5,719$3,546$1,487
66052Nontraumatic stupor & coma$14,185$8,795$3,688
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$15,178$9,410$3,946
68163Heart Valve Procedures without Cardiac Catheterization$154,487$95,782$40,167
69144Respiratory System Signs, Symptoms and Minor Diagnoses$17,602$10,913$4,577
70143Other respiratory diagnoses except signs, symptoms & minor diagnoses$10,045$6,228$2,612
71422Hypovolemia$23,944$14,845$6,225
72204Fainting and Collapse$11,358$7,042$2,953
73951Moderately Extensive Procedure Unrelated to Diagnosis$27,368$16,968$7,116
74639Neonate Birthwt >2499g with Other Significant Condition$8,463$5,247$2,200
75756Acute Adjust React Psychosocial Dysfunction$9,870$6,119$2,566

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 2015 - March 2016
 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)$8,163$5,061$2,122$9,828$6,093$2,555
Colonoscopy and Biopsy 45380)$6,297$3,904$1,637$7,865$4,876$2,045
Upper GI Endoscopy with Biopsy 43239)$5,542$3,436$1,441$7,465$4,628$1,941
Lesion Removal Colonoscopy by Snare Technique 45385)$6,368$3,948$1,656$8,463$5,247$2,200
Diagnostic Colonoscopy 45378)$5,602$3,473$1,457$9,044$5,607$2,351
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$11,395$7,065$2,963
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,522$3,424$1,436NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,732$3,554$1,490NRNRNR
Carpal Tunnel Surgery 64721)$6,792$4,211$1,766$7,215$4,474$1,876
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$12,744$7,901$3,313$20,009$12,405$5,202
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,830$2,995$1,256$6,800$4,216$1,768
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,134$3,803$1,595$7,496$4,648$1,949
Left Heart Artery/Ventricle Angiography 93458)$10,956$6,793$2,849$15,507$9,614$4,032
Creation of Eardrum Opening 69436)NRNRNR$10,512$6,517$2,733
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,389$12,021$5,041$25,623$15,887$6,662
After Cataract Laser Surgery 66821)$2,015$1,249$524$2,015$1,249$524
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNR$26,148$16,212$6,798
Cataract Surgery- Complex 66982)$9,241$5,729$2,403NRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,641$14,657$6,147
Hysteroscopy with Biopsy 58558)$13,404$8,311$3,485$16,778$10,403$4,362
Esophageal Endoscopy with Dilation 43249)$6,075$3,767$1,580$6,911$4,285$1,797
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)$6,826$4,232$1,775$7,565$4,690$1,967
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$13,706$8,498$3,563$14,044$8,707$3,651
Incision of Finger Tendon Sheath 26055)$6,506$4,034$1,692$7,838$4,860$2,038
Unlisted Cystourethoscopy 52000)$5,202$3,225$1,353$36,772$22,799$9,561
Cystourethroscopy with Lithotripsy and Stent 52356)$18,430$11,426$4,792$21,843$13,543$5,679
Laparoscopic Hernia Repair - Initial 49650)$24,607$15,256$6,398$37,260$23,101$9,688
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,897$7,376$3,093$26,363$16,345$6,854
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,066$13,061$5,477$24,180$14,991$6,287
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,154$8,155$3,420$38,171$23,666$9,924
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$20,660$12,809$5,371$28,211$17,491$7,335
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Removal of Tonsils 42826)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,637$5,355$2,246$14,511$8,997$3,773
Repair of Nasal Septum 30520)NRNRNR$14,896$9,236$3,873
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$28,969$17,961$7,532$33,706$20,898$8,764
Low Back Disk Surgery 63030)$27,440$17,013$7,134NRNRNR
Fragmenting of Kidney Stone 50590)NRNRNR$14,841$9,201$3,859
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,558$7,786$3,265$27,373$16,971$7,117
Laparoscopy - Removal of Adnexal Structures 58661)$22,897$14,196$5,953$25,497$15,808$6,629
Mastectomy, Partial 19301)$15,332$9,506$3,986$26,728$16,571$6,949
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$9,518$5,901$2,475$16,037$9,943$4,170
Laparoscopy, Removal of Tubes & Ovaries 58571)$34,289$21,259$8,915$38,330$23,765$9,966
Coronary Artery Angio S&I 93454)$11,165$6,922$2,903$51,134$31,703$13,295
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$15,992$9,915$4,158$23,540$14,595$6,120
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$17,360$10,763$4,514
Right and Left Heart Artery/Ventricle Angiography 93460)$12,273$7,609$3,191$13,559$8,407$3,525
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)$14,669$9,095$3,814NRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Removal of Adenoids 42830)$8,999$5,579$2,340$10,734$6,655$2,791
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Electronic analysis of implantable pump spine w/reprogram/refill 62369)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$10,771$6,678$2,800NRNRNR
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.