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 2016 - December 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,142$1,885$660
2560Vaginal Delivery$14,439$8,663$3,032
3720Blood Infection/Septicemia$15,155$9,093$3,183
4302Knee Replacement$43,589$26,153$9,154
5540Cesarean Delivery$18,901$11,341$3,969
6194Heart Failure$13,316$7,990$2,796
7301Hip Replacement$44,662$26,797$9,379
8751Psychoses$8,523$5,114$1,790
9139Pneumonia$19,884$11,930$4,176
10753Bipolar Disorders$8,996$5,398$1,889
11775Alcohol Abuse/Dependence$7,217$4,330$1,516
12140Chronic Obstructive Pulmonary Disease$15,990$9,594$3,358
13201Heart Abnormal Rhythm and Conduction Disorders$12,515$7,509$2,628
14045Stroke and Precerebral Occlusion with Infarct$16,138$9,683$3,389
15383Cellulitis & other skin infections$10,851$6,511$2,279
16133Respiratory failureNRNRNR
17463Kidney/Urinary Tract Infection$18,268$10,961$3,836
18221Major Bowel Procedures$51,557$30,934$10,827
19174Percutaneous coronary intervention w AMI$72,596$43,558$15,245
20754Depression$6,878$4,127$1,444
21460Renal FailureNRNRNR
22750Schizophrenia$7,774$4,664$1,633
23420Diabetes$12,161$7,297$2,554
24282Disorders of Pancreas Except Malignancy$21,332$12,799$4,480
25247Intestinal Obstruction without Surgery$19,395$11,637$4,073
26812Poisoning of Medicinal Agents$16,259$9,755$3,414
27254Other Digestive System Diagnoses$14,702$8,821$3,087
28710Infectious & parasitic diseases including HIV w O.R. procedure$34,159$20,495$7,173
29304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$77,599$46,559$16,296
30190Circulatory Disorders with Heart Attack$21,788$13,073$4,575
31773Opioid Abuse/Dependence$8,490$5,094$1,783
32053Seizure$20,840$12,504$4,376
33137Respiratory Infections and InflammationsNRNRNR
34058Other Disorders of Nervous System$37,049$22,229$7,780
35308Hip & femur fracture repair$43,555$26,133$9,147
36175Percutaneous coronary intervention w/o AMI$72,819$43,691$15,292
37263Laparoscopic Cholecystectomy$38,603$23,162$8,107
38134Pulmonary Embolism$12,467$7,480$2,618
39249Other gastroenteritis, nausea & vomiting$21,352$12,811$4,484
40244Diverticulitis & Diverticulosis$19,268$11,561$4,046
41315Shoulder, upper arm & forearm procedures except joint replacement$34,848$20,909$7,318
42861Signs & Symptoms$9,649$5,789$2,026
43347Other Back/Neck Disorders, Fractures, Injuries$17,704$10,622$3,718
44173Other Vascular ProceduresNRNRNR
45253Other and Unspecified Gastrointestinal Hemorrhage$15,933$9,560$3,346
46313Other Knee/Lower Leg Surgery$29,268$17,561$6,146
47351Other Musculoskeletal System and Connective Tissue Diagnoses$14,016$8,410$2,943
48241Peptic Ulcer/Gastritis$23,611$14,167$4,958
49425Other Electrolyte Disorders$34,717$20,830$7,291
50466Malfunction, reaction, complic of genitourinary device or procNRNRNR
51862Other Factors Influencing Health Status$27,239$16,343$5,720
52248Major G.I. Bacterial Infections$16,091$9,655$3,379
53663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$22,778$13,667$4,783
54024Extracranial Vascular Procedures$35,194$21,116$7,391
55192Cardiac catheterization for other non-coronary conditions$27,529$16,517$5,781
56191Cardiac catheterization for coronary artery disease$21,896$13,138$4,598
57951Moderately Extensive Procedure Unrelated to Diagnosis$19,444$11,666$4,083
58021Craniotomy Except For TraumaNRNRNR
59566Other Antepartum Diagnoses$7,385$4,431$1,551
60197Peripheral and Other Vascular DisordersNRNRNR
61321Upper Spinal Fusion$43,562$26,137$9,148
62422HypovolemiaNRNRNR
63052Nontraumatic stupor & coma$11,142$6,685$2,340
64225Appendectomy$33,700$20,220$7,077
65950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
66220Major Stomach/Esophagus/Duodenum Procedures$49,008$29,405$10,292
67055Head trauma w coma >1 hr or hemorrhage$14,721$8,833$3,091
68141Asthma$7,655$4,593$1,608
69721Postoperative and Post-Traumatic InfectionsNRNRNR
70755Neuroses Other Than Depression$7,759$4,655$1,629
71163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$15,912$9,547$3,342
73166Coronary bypass w/o AMI or complex PDXNRNRNR
74204Fainting and CollapseNRNRNR
75144Respiratory System Signs, Symptoms and Minor Diagnoses$17,640$10,584$3,704

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 2016 - December 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)$8,543$5,126$1,794$12,224$7,334$2,567
Colonoscopy and Biopsy 45380)$6,562$3,937$1,378$7,450$4,470$1,565
Lesion Removal Colonoscopy by Snare Technique 45385)$6,581$3,949$1,382$6,960$4,176$1,462
Upper GI Endoscopy with Biopsy 43239)$5,934$3,560$1,246$7,723$4,634$1,622
Diagnostic Colonoscopy 45378)$5,881$3,528$1,235NRNRNR
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)$5,474$3,284$1,150NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,534$3,320$1,162$8,257$4,954$1,734
Carpal Tunnel Surgery 64721)$6,879$4,128$1,445$7,750$4,650$1,627
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,767$8,260$2,891$26,161$15,697$5,494
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,520$2,712$949$6,834$4,100$1,435
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,924$4,155$1,454$7,783$4,670$1,634
Creation of Eardrum Opening 69436)NRNRNRNRNRNR
Left Heart Artery/Ventricle Angiography 93458)$11,586$6,952$2,433$51,507$30,904$10,817
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)$19,945$11,967$4,188$29,842$17,905$6,267
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Esophageal Endoscopy with Dilation 43249)$5,386$3,231$1,131$6,532$3,919$1,372
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$24,760$14,856$5,200
Cataract Surgery- Complex 66982)$9,523$5,714$2,000NRNRNR
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$9,941$5,965$2,088
Hysteroscopy with Biopsy 58558)$13,447$8,068$2,824$15,088$9,053$3,168
Cystourethroscopy with Lithotripsy and Stent 52356)$20,555$12,333$4,316$25,591$15,355$5,374
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,777$8,866$3,103$18,553$11,132$3,896
Incision of Finger Tendon Sheath 26055)$6,611$3,967$1,388$7,739$4,643$1,625
Laparoscopic Hernia Repair - Initial 49650)$27,717$16,630$5,820$28,731$17,239$6,034
Unlisted Cystourethoscopy 52000)$8,181$4,909$1,718$11,494$6,897$2,414
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$12,657$7,594$2,658$21,399$12,839$4,494
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,254$13,953$4,883$24,322$14,593$5,108
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,346$8,008$2,803$16,323$9,794$3,428
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$22,992$13,795$4,828$29,852$17,911$6,269
Cystourethroscopy with Stent 52332)$10,488$6,293$2,202$15,233$9,140$3,199
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$23,843$14,306$5,007$25,851$15,511$5,429
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,387$9,232$3,231$25,963$15,578$5,452
Mastectomy, Partial 19301)$16,785$10,071$3,525$26,329$15,797$5,529
Removal of Tonsils 42826)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$30,243$18,146$6,351$28,973$17,384$6,084
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,446$21,267$7,444$38,433$23,060$8,071
Low Back Disk Surgery 63030)$27,719$16,632$5,821$31,442$18,865$6,603
Repair of Nasal Septum 30520)NRNRNR$18,877$11,326$3,964
Fragmenting of Kidney Stone 50590)NRNRNR$15,026$9,016$3,156
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$11,209$6,725$2,354$49,048$29,429$10,300
Debridement Skin/Tissue 11042)$10,978$6,587$2,305$16,051$9,630$3,371
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Correction of Bunion 28296)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$14,555$8,733$3,057$23,540$14,124$4,943
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$21,920$13,152$4,603
Right and Left Heart Artery/Ventricle Angiography 93460)$12,333$7,400$2,590$15,947$9,568$3,349
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Removal of Adenoids 42830)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$10,771$6,463$2,262NRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Injection of chemical agent into muscles near face/neck 64615)NRNRNRNRNRNR
Repair of wrist joints 25447)$17,574$10,545$3,691$16,485$9,891$3,462
Ablation therapy of first vein of extremity 36475)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.