Froedtert West Bend Hospital
3200 Pleasant Valley Road
West Bend, WI 53095
262-334-5533
 
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2020 - June 2021
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,729$2,885$993
2560Vaginal Delivery$17,340$10,578$3,641
3720Blood Infection/Septicemia$19,820$12,090$4,162
4137Respiratory Infections and Inflammations$32,556$19,859$6,837
5194Heart Failure$12,921$7,882$2,713
6751PsychosesNRNRNR
7540Cesarean Delivery$19,914$12,148$4,182
8775Alcohol Abuse/Dependence$14,678$8,954$3,082
9753Bipolar DisordersNRNRNR
10201Heart Abnormal Rhythm and Conduction Disorders$13,483$8,225$2,831
11045Stroke and Precerebral Occlusion with Infarct$24,382$14,873$5,120
12469Acute Kidney Injury$16,390$9,998$3,442
13463Kidney/Urinary Tract Infection$18,347$11,192$3,853
14133Respiratory failureNRNRNR
15174Percutaneous coronary intervention w AMINRNRNR
16139Pneumonia$17,539$10,699$3,683
17420Diabetes$13,197$8,050$2,771
18750SchizophreniaNRNRNR
19383Cellulitis & other skin infections$15,173$9,256$3,186
20282Disorders of Pancreas Except Malignancy$22,936$13,991$4,817
21308Hip & femur fracture repair$44,451$27,115$9,335
22247Intestinal Obstruction without Surgery$20,004$12,203$4,201
23326Elective knee joint replacement$55,219$33,684$11,596
24710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
25231Major large bowel procedures$78,549$47,915$16,495
26058Other Disorders of Nervous System$38,552$23,516$8,096
27304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
28140Chronic Obstructive Pulmonary Disease$19,344$11,800$4,062
29254Other Digestive System Diagnoses$23,167$14,132$4,865
30466Malfunction, reaction, complic of genitourinary device or procNRNRNR
31190Circulatory Disorders with Heart Attack$18,651$11,377$3,917
32134Pulmonary Embolism$16,936$10,331$3,557
33754DepressionNRNRNR
34192Cardiac catheterization for other non-coronary conditionsNRNRNR
35053Seizure$13,459$8,210$2,826
36241Peptic Ulcer/Gastritis$22,158$13,516$4,653
37244Diverticulitis & Diverticulosis$18,487$11,277$3,882
38324Elective hip joint replacement$59,312$36,180$12,455
39263Laparoscopic Cholecystectomy$38,727$23,623$8,133
40175Percutaneous coronary intervention w/o AMINRNRNR
41862Other Factors Influencing Health StatusNRNRNR
42230Major small bowel procedures$58,256$35,536$12,234
43773Opioid Abuse/DependenceNRNRNR
44426Non-hypovolemic sodium disorders$13,863$8,457$2,911
45861Signs & Symptoms$17,369$10,595$3,647
46322Shoulder & Elbow Joint ReplacementNRNRNR
47301Hip Replacement$61,026$37,226$12,815
48249Other gastroenteritis, nausea & vomiting$26,940$16,433$5,657
49347Other Back/Neck Disorders, Fractures, Injuries$13,189$8,045$2,770
50052Nontraumatic stupor & comaNRNRNR
51302Knee Replacement$55,664$33,955$11,689
52253Other and Unspecified Gastrointestinal Hemorrhage$28,201$17,203$5,922
53566Other Antepartum DiagnosesNRNRNR
54663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$21,577$13,162$4,531
55313Other Knee/Lower Leg Surgery$45,561$27,792$9,568
56539Cesarean delivery with sterlization$19,810$12,084$4,160
57021Craniotomy Except For TraumaNRNRNR
58183Percutaneous structural cardiac proceduresNRNRNR
59323Non-elective or complex hip joint replacement$67,368$41,095$14,147
60280Alcoholic Liver Disease$26,532$16,185$5,572
61055Head trauma w coma >1 hr or hemorrhage$8,613$5,254$1,809
62351Other Musculoskeletal System and Connective Tissue DiagnosesNRNRNR
63182Other Peripheral Vascular Procedures$56,919$34,720$11,953
64721Postoperative and Post-Traumatic Infections$17,826$10,874$3,743
65425Other Electrolyte Disorders$16,648$10,155$3,496
66248Major G.I. Bacterial Infections$16,968$10,351$3,563
67166Coronary bypass w/o AMI or complex PDXNRNRNR
68403Surgical Procedures for ObesityNRNRNR
69817Overdose$13,433$8,194$2,821
70755Neuroses Other Than DepressionNRNRNR
71171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
72143Other respiratory diagnoses except signs, symptoms & minor diagnoses$18,600$11,346$3,906
73284Disorders of gallbladder & biliary tract$14,002$8,541$2,940
74042Degenerative nervous system disorders exc mult sclerosis$27,289$16,646$5,731
75163Cardiac valve procedures w/o AMI or complex PDXNRNRNR

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 2020 - June 2021

 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*
Lesion Removal Colonoscopy by Snare Technique 45385)$6,684$4,077$1,404$9,215$5,621$1,935
Cataract Surgery with Intraocular Lens - Stage 1 66984)$10,774$6,572$2,263$12,857$7,843$2,700
Colonoscopy and Biopsy 45380)$6,805$4,151$1,429$7,873$4,803$1,653
Upper GI Endoscopy with Biopsy 43239)$6,276$3,829$1,318$8,016$4,890$1,683
Diagnostic Colonoscopy 45378)$5,938$3,622$1,247$8,489$5,178$1,783
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,972$3,643$1,254NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,955$3,633$1,251NRNRNR
Total Knee Arthroscopy 27447)$54,145$33,029$11,371$54,358$33,158$11,415
Carpal Tunnel Surgery 64721)$7,798$4,757$1,638$8,892$5,424$1,867
Uppr GI Endoscopy- Diagnostic 43235)$5,361$3,270$1,126$7,030$4,288$1,476
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$19,652$11,987$4,127$37,019$22,582$7,774
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
TOTAL HIP ARTHROPLASTY 27130)$56,811$34,655$11,930$61,353$37,425$12,884
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$17,079$10,418$3,587$17,915$10,928$3,762
Esophageal Endoscopy with Dilation 43249)$7,080$4,319$1,487$7,629$4,654$1,602
Arthroscopic Rotator Cuff Repair 29827)$34,555$21,079$7,257$34,106$20,805$7,162
Cystourethroscopy with Lithotripsy and Stent 52356)$25,927$15,815$5,445$31,733$19,357$6,664
Laparoscopic Cholecystectomy 47562)$25,010$15,256$5,252$38,309$23,368$8,045
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Cataract Surgery- Complex 66982)$11,989$7,313$2,518$12,606$7,689$2,647
Hysteroscopy with Biopsy 58558)$19,140$11,675$4,019$24,943$15,215$5,238
Laparoscopic Hernia Repair - Initial 49650)$29,649$18,086$6,226$32,128$19,598$6,747
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$5,615$3,425$1,179$7,292$4,448$1,531
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Incision of Finger Tendon Sheath 26055)$6,949$4,239$1,459$9,840$6,002$2,066
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)$41,034$25,031$8,617$50,000$30,500$10,500
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$28,962$17,667$6,082$36,193$22,078$7,601
Laparoscopy - Removal of Adnexal Structures 58661)$24,941$15,214$5,238$27,742$16,923$5,826
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$20,377$12,430$4,279$24,865$15,167$5,222
Mastectomy, Partial 19301)$14,876$9,074$3,124$28,962$17,667$6,082
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$13,419$8,186$2,818$20,770$12,670$4,362
Unlisted Cystourethoscopy 52000)$10,235$6,243$2,149$21,518$13,126$4,519
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$14,150$8,631$2,971NRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$27,290$16,647$5,731$36,446$22,232$7,654
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$19,045$11,617$3,999NRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$19,575$11,940$4,111$24,145$14,728$5,070
Creation of Eardrum Opening 69436)$11,229$6,850$2,358NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Removal of Tonsils 42826)$16,564$10,104$3,478NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)NRNRNR$13,444$8,201$2,823
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$19,322$11,787$4,058$31,512$19,222$6,618
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$33,751$20,588$7,088$37,857$23,093$7,950
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$20,335$12,404$4,270
Debridement Skin/Tissue 11042)NRNRNR$10,527$6,422$2,211
REDUCTION OF LARGE BREAST 19318)$31,147$19,000$6,541$61,035$37,231$12,817
Repair of wrist joints 25447)NRNRNRNRNRNR
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNR$18,397$11,222$3,863
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
Mohs Micrographic Tissue Removal 17311)NRNRNRNRNRNR
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)$6,340$3,867$1,331$12,011$7,327$2,522
SHOULDER ARTHROSCOPY/SURGERY 29823)$24,696$15,065$5,186$24,344$14,850$5,112
Hysteroscopy with Ablation 58563)$19,946$12,167$4,189$34,019$20,752$7,144
REMOVAL OF TURBINATE BONES 30140)$17,974$10,964$3,775$22,262$13,580$4,675
Biopsy of Prostate 55700)$10,226$6,238$2,147$19,614$11,965$4,119
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$26,194$15,978$5,501$28,296$17,261$5,942
Information about quality and safety of care for Froedtert West Bend Hospital may be found at http://www.wicheckpoint.org
* Estimated Insurance Payments based on average percent of billed charges collected.