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:  July 2015 - June 2016
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,076$1,846$646
2560Vaginal Delivery$14,221$8,533$2,986
3720Blood Infection/Septicemia$16,853$10,112$3,539
4302Knee Replacement$43,191$25,915$9,070
5540Cesarean Delivery$18,686$11,212$3,924
6194Heart Failure$13,930$8,358$2,925
7301Hip Replacement$44,202$26,521$9,282
8139Pneumonia$11,652$6,991$2,447
9751Psychoses$10,173$6,104$2,136
10753Bipolar Disorders$7,084$4,250$1,488
11775Alcohol Abuse/Dependence$6,709$4,025$1,409
12140Chronic Obstructive Pulmonary Disease$11,278$6,767$2,368
13201Heart Abnormal Rhythm and Conduction Disorders$14,201$8,521$2,982
14383Cellulitis and Other Bacterial Skin Infections$11,115$6,669$2,334
15460Renal FailureNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$16,946$10,168$3,559
17133Pulmonary Edema/Respiratory FailureNRNRNR
18463Kidney/Urinary Tract Infection$11,746$7,048$2,467
19221Major Bowel Procedures$51,895$31,137$10,898
20174Angioplasty with Heart Attack$74,150$44,490$15,572
21754Depression$6,889$4,133$1,447
22750Schizophrenia$11,342$6,805$2,382
23247Intestinal Obstruction without Surgery$13,781$8,269$2,894
24420Diabetes$10,821$6,493$2,272
25282Disorders of Pancreas Except Malignancy$21,332$12,799$4,480
26812Poisoning of Medicinal Agents$13,609$8,165$2,858
27254Other Digestive System Diagnoses$14,702$8,821$3,087
28304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$61,529$36,917$12,921
29053Seizure$17,455$10,473$3,666
30190Circulatory Disorders with Heart Attack$19,479$11,687$4,091
31137Respiratory Infections and InflammationsNRNRNR
32173Other Vascular Procedures$38,992$23,395$8,188
33710Infectious & parasitic diseases including HIV w O.R. procedure$32,372$19,423$6,798
34134Pulmonary Embolism$12,467$7,480$2,618
35308Hip/Thigh Surgery with Trauma Diagnosis$38,783$23,270$8,144
36263Laparoscopic Cholecystectomy$31,532$18,919$6,622
37773Opioid Abuse/Dependence$8,061$4,837$1,693
38249Gastroenteritis$12,023$7,214$2,525
39315Shoulder/Upper Arm, Forearm Surgery$34,557$20,734$7,257
40244Diverticulitis & Diverticulosis$15,105$9,063$3,172
41175Angioplasty without Heart Attack$71,569$42,941$15,029
42861Signs & Symptoms$10,380$6,228$2,180
43058Other Disorders of Nervous System$31,208$18,725$6,554
44347Other Back/Neck Disorders, Fractures, Injuries$17,439$10,463$3,662
45253Other and Unspecified Gastrointestinal Hemorrhage$17,621$10,573$3,700
46425Other Electrolyte Disorders$34,717$20,830$7,291
47351Other Musculoskeletal System and Connective Tissue Diagnoses$14,016$8,410$2,943
48241Peptic Ulcer/Gastritis$24,740$14,844$5,195
49313Other Knee/Lower Leg Surgery$30,817$18,490$6,472
50191Cardiac Catheterization without Principal Diagnosis of Ischemic Heart Disease$21,476$12,886$4,510
51248Major G.I. Bacterial Infections$18,507$11,104$3,886
52663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$15,577$9,346$3,271
53024Extracranial Vascular Procedures$35,174$21,104$7,387
54466Malfunction, reaction, complic of genitourinary device or proc$7,036$4,222$1,478
55862Other Factors Influencing Health StatusNRNRNR
56197Peripheral and Other Vascular DisordersNRNRNR
57693ChemotherapyNRNRNR
58021Craniotomy Except For TraumaNRNRNR
59141Asthma$8,866$5,320$1,862
60321Upper Spinal Fusion$49,466$29,680$10,388
61566Other Antepartum Diagnoses$9,153$5,492$1,922
62721Postoperative and Post-Traumatic InfectionsNRNRNR
63225Appendectomy$30,073$18,044$6,315
64052Nontraumatic stupor & coma$12,664$7,598$2,659
65422Hypovolemia$23,944$14,366$5,028
66755Neuroses Other Than Depression$3,260$1,956$685
67192Cardiac Catheterization with Principal Diagnosis of Ischemic Heart Disease$17,068$10,241$3,584
68951Moderately Extensive Procedure Unrelated to Diagnosis$19,444$11,666$4,083
69055Head trauma w coma >1 hr or hemorrhage$9,423$5,654$1,979
70163Heart Valve Procedures without Cardiac Catheterization$167,195$100,317$35,111
71950Extensive Procedure Unrelated to Principal DiagnosisNRNRNR
72220Major Stomach/Esophagus/Duodenum Procedures$53,657$32,194$11,268
73144Respiratory System Signs, Symptoms and Minor Diagnoses$23,072$13,843$4,845
74204Fainting and Collapse$11,358$6,815$2,385
75756Acute Adjust React Psychosocial Dysfunction$9,850$5,910$2,069

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:  July 2015 - June 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)$8,380$5,028$1,760$9,828$5,897$2,064
Colonoscopy and Biopsy 45380)$6,568$3,941$1,379$7,842$4,705$1,647
Lesion Removal Colonoscopy by Snare Technique 45385)$7,271$4,363$1,527$8,505$5,103$1,786
Upper GI Endoscopy with Biopsy 43239)$5,779$3,468$1,214$7,465$4,479$1,568
Diagnostic Colonoscopy 45378)$5,601$3,361$1,176$9,202$5,521$1,932
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$16,655$9,993$3,498
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,619$3,371$1,180NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,784$3,470$1,215$8,257$4,954$1,734
Carpal Tunnel Surgery 64721)$6,789$4,073$1,426$7,239$4,343$1,520
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$13,212$7,927$2,775$25,705$15,423$5,398
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,818$2,891$1,012$6,800$4,080$1,428
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$6,272$3,763$1,317$7,783$4,670$1,634
Left Heart Artery/Ventricle Angiography 93458)$11,193$6,716$2,351$17,816$10,690$3,741
Creation of Eardrum Opening 69436)NRNRNR$10,512$6,307$2,207
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$19,480$11,688$4,091$25,640$15,384$5,384
After Cataract Laser Surgery 66821)$2,015$1,209$423$2,015$1,209$423
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$9,266$5,559$1,946NRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNR$26,148$15,689$5,491
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$23,113$13,868$4,854
Esophageal Endoscopy with Dilation 43249)$5,497$3,298$1,154$6,548$3,929$1,375
Hysteroscopy with Biopsy 58558)$13,531$8,118$2,841$15,617$9,370$3,280
Biopsy Skin and Subcutaneous Tissue; 1 Lesion 11100)NRNRNR$7,565$4,539$1,589
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$14,777$8,866$3,103$16,713$10,028$3,510
Cystourethroscopy with Lithotripsy and Stent 52356)$19,587$11,752$4,113$23,395$14,037$4,913
Incision of Finger Tendon Sheath 26055)$6,580$3,948$1,382$6,809$4,085$1,430
Unlisted Cystourethoscopy 52000)$9,919$5,951$2,083$33,397$20,038$7,013
Laparoscopic Hernia Repair - Initial 49650)$26,078$15,647$5,476$26,875$16,125$5,644
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$11,917$7,150$2,503$17,039$10,224$3,578
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$21,222$12,733$4,457$23,994$14,397$5,039
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$13,154$7,892$2,762$38,828$23,297$8,154
Destruction of Premalignant Lesion 17000)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$21,262$12,757$4,465$28,513$17,108$5,988
Destruction of Benign Lesions up to 14 Lesions 17110)NRNRNRNRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Removal of Tonsils 42826)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$8,830$5,298$1,854$14,285$8,571$3,000
Injections; Single or Multiple Trigger Points, 1 or 2 Muscles 20552)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$29,155$17,493$6,122$32,196$19,317$6,761
Laparoscopy - Removal of Adnexal Structures 58661)$23,647$14,188$4,966$24,817$14,890$5,212
Low Back Disk Surgery 63030)$26,955$16,173$5,661$31,442$18,865$6,603
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$12,183$7,310$2,559$25,963$15,578$5,452
Repair of Nasal Septum 30520)NRNRNR$14,896$8,938$3,128
Fragmenting of Kidney Stone 50590)NRNRNR$15,099$9,060$3,171
Mastectomy, Partial 19301)$15,332$9,199$3,220$26,880$16,128$5,645
Needle Biopsy of Liver 47000)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$35,128$21,077$7,377$38,433$23,060$8,071
Debridement Skin/Tissue 11042)$8,410$5,046$1,766NRNRNR
Coronary Artery Angio S&I 93454)$11,165$6,699$2,345$51,134$30,680$10,738
Aspirate Pleura with Imaging 32555)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Hysteroscopy with Ablation 58563)$14,575$8,745$3,061$22,183$13,310$4,658
Remove Impacted Ear Wax 69210)NRNRNRNRNRNR
Diagnostic Laryngoscopy 31575)NRNRNRNRNRNR
Transluminal balloon angioplasty, percutaneous, venous 35476)NRNRNRNRNRNR
Apheresis Plasma 36514)NRNRNRNRNRNR
Shoulder Arthroscopy/Surgery 29824)NRNRNR$19,943$11,966$4,188
Correction of Bunion 28296)$14,669$8,802$3,081NRNRNR
Debridement, Open Wound <= 20 Square Centimeters 97597)NRNRNRNRNRNR
Bone Marrow Biopsy 38221)NRNRNRNRNRNR
Electro-Uroflowmetry - First 51741)NRNRNRNRNRNR
Right and Left Heart Artery/Ventricle Angiography 93460)$12,333$7,400$2,590$14,321$8,593$3,007
Removal of Adenoids 42830)NRNRNRNRNRNR
Biopsy of lung or mediastinum, percutaneous w/needle 32405)NRNRNRNRNRNR
Ablation therapy of first vein of extremity 36475)NRNRNRNRNRNR
Removal of Central Venous Device w Port or Pump 36590)$10,771$6,463$2,262NRNRNR
Repair of Hammertoe 28285)NRNRNR$9,615$5,769$2,019
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.