St Joseph's Community Hospital of West Bend, Inc
3200 Pleasant Valley Road
West Bend, WI 53095
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WI Act 146 Top 75 Reports

Charges for 75 Most Common Hospitalizations in Wisconsin:  July 2018 - June 2019
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,487$2,737$942
2560Vaginal Delivery$13,686$8,348$2,874
3720Blood Infection/Septicemia$16,541$10,090$3,474
4194Heart Failure$15,252$9,304$3,203
5540Cesarean Delivery$18,960$11,565$3,982
7301Hip Replacement$54,354$33,156$11,414
8302Knee Replacement$51,204$31,235$10,753
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$21,833$13,318$4,585
12201Heart Abnormal Rhythm and Conduction Disorders$13,951$8,510$2,930
13133Respiratory failureNRNRNR
14140Chronic Obstructive Pulmonary Disease$16,617$10,136$3,490
15469Acute Kidney InjuryNRNRNR
16045Stroke and Precerebral Occlusion with Infarct$23,689$14,450$4,975
17463Kidney/Urinary Tract Infection$16,678$10,174$3,502
18383Cellulitis & other skin infections$15,105$9,214$3,172
20174Percutaneous coronary intervention w AMINRNRNR
22282Disorders of Pancreas Except Malignancy$21,145$12,899$4,440
23247Intestinal Obstruction without Surgery$22,101$13,481$4,641
24175Percutaneous coronary intervention w/o AMINRNRNR
25308Hip & femur fracture repair$47,045$28,698$9,879
26190Circulatory Disorders with Heart Attack$14,127$8,617$2,967
27231Major large bowel procedures$70,892$43,244$14,887
28254Other Digestive System Diagnoses$14,715$8,976$3,090
31137Respiratory Infections and Inflammations$20,731$12,646$4,354
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
33058Other Disorders of Nervous System$22,990$14,024$4,828
34134Pulmonary Embolism$17,390$10,608$3,652
35192Cardiac catheterization for other non-coronary conditionsNRNRNR
36466Malfunction, reaction, complic of genitourinary device or procNRNRNR
37263Laparoscopic Cholecystectomy$34,453$21,016$7,235
38244Diverticulitis & Diverticulosis$21,137$12,894$4,439
39249Other gastroenteritis, nausea & vomiting$17,545$10,702$3,684
40241Peptic Ulcer/Gastritis$21,463$13,093$4,507
41710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
42773Opioid Abuse/DependenceNRNRNR
43230Major small bowel procedures$59,217$36,122$12,435
44347Other Back/Neck Disorders, Fractures, Injuries$18,305$11,166$3,844
45322Shoulder & Elbow Joint ReplacementNRNRNR
46861Signs & Symptoms$16,951$10,340$3,560
47313Other Knee/Lower Leg Surgery$38,232$23,322$8,029
48024Extracranial Vascular ProceduresNRNRNR
49862Other Factors Influencing Health StatusNRNRNR
50253Other and Unspecified Gastrointestinal Hemorrhage$19,170$11,694$4,026
51181Lower Extremity Arterial ProceduresNRNRNR
52021Craniotomy Except For TraumaNRNRNR
53351Other Musculoskeletal System and Connective Tissue Diagnoses$16,384$9,994$3,441
54426Non-hypovolemic sodium disorders$33,527$20,451$7,041
55812Poisoning of Medicinal Agents$24,844$15,155$5,217
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$11,604$7,079$2,437
57248Major G.I. Bacterial InfectionsNRNRNR
58052Nontraumatic stupor & coma$36,778$22,434$7,723
59055Head trauma w coma >1 hr or hemorrhage$9,552$5,827$2,006
60113Epiglottitis, Ear Infection, URI and Laryngotracheitis$11,904$7,262$2,500
61166Coronary bypass w/o AMI or complex PDXNRNRNR
62721Postoperative and Post-Traumatic Infections$31,302$19,094$6,573
63755Neuroses Other Than DepressionNRNRNR
64143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
65566Other Antepartum DiagnosesNRNRNR
67696Other ChemotherapyNRNRNR
69321Upper Spinal FusionNRNRNR
70171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
71197Peripheral and Other Vascular DisordersNRNRNR
72425Other Electrolyte DisordersNRNRNR
73284Disorders of gallbladder & biliary tractNRNRNR
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75541Vaginal Delivery with Sterilization$27,879$17,006$5,855

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 2018 - June 2019

 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)$8,697$5,305$1,826$10,364$6,322$2,177
Colonoscopy and Biopsy 45380)$5,777$3,524$1,213$7,493$4,571$1,574
Lesion Removal Colonoscopy by Snare Technique 45385)$6,183$3,772$1,298$6,617$4,037$1,390
Upper GI Endoscopy with Biopsy 43239)$5,309$3,239$1,115$7,053$4,302$1,481
Diagnostic Colonoscopy 45378)$5,543$3,381$1,164$7,448$4,543$1,564
Injection into Lumbar or Sacral Area, Single Level 64483)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)NRNRNRNRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,174$3,156$1,087NRNRNR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$5,193$3,168$1,091NRNRNR
Carpal Tunnel Surgery 64721)$8,215$5,011$1,725$9,991$6,094$2,098
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,693$2,863$986$7,865$4,798$1,652
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$16,283$9,933$3,419$31,899$19,458$6,699
Drain/Inject Major Joint or Bursa 20610)NRNRNR$17,485$10,666$3,672
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$8,781$5,356$1,844NRNRNR
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Unlisted Dental Surgery Procedure 41899)$13,036$7,952$2,738NRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Laparoscopic Cholecystectomy 47562)$21,663$13,214$4,549$26,369$16,085$5,537
Esophageal Endoscopy with Dilation 43249)$5,464$3,333$1,147$6,790$4,142$1,426
Total Knee Arthroscopy 27447)$45,635$27,837$9,583$46,422$28,318$9,749
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$35,754$21,810$7,508$34,129$20,819$7,167
Cataract Surgery- Complex 66982)$9,237$5,635$1,940$11,266$6,872$2,366
Cystourethroscopy with Lithotripsy and Stent 52356)$21,188$12,925$4,449$21,899$13,358$4,599
Hysteroscopy with Biopsy 58558)$15,605$9,519$3,277$21,474$13,099$4,509
Removal of Tonsils And Adenoids - < Age 12 42820)$12,319$7,515$2,587NRNRNR
Uppr GI Endoscopy with Guide Wire 43248)$4,621$2,819$970$6,644$4,053$1,395
Laparoscopic Hernia Repair - Initial 49650)$23,113$14,099$4,854$30,636$18,688$6,434
Incision of Finger Tendon Sheath 26055)$8,732$5,326$1,834$8,073$4,925$1,695
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$22,079$13,468$4,637NRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Laparoscopy - Removal of Adnexal Structures 58661)$20,403$12,446$4,285$23,373$14,257$4,908
Laparoscopy, Removal of Tubes & Ovaries 58571)$33,669$20,538$7,070NRNRNR
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$16,384$9,994$3,441$20,444$12,471$4,293
Mastectomy, Partial 19301)$16,940$10,334$3,557$27,989$17,073$5,878
Cystourethroscopy with Stent 52332)$9,980$6,088$2,096$17,206$10,495$3,613
Laparoscopic Appendectomy 44970)$23,474$14,319$4,930$32,247$19,671$6,772
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$24,028$14,657$5,046$26,336$16,065$5,530
Unlisted Cystourethoscopy 52000)$7,044$4,297$1,479$11,797$7,196$2,477
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$16,354$9,976$3,434NRNRNR
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils 42826)$14,027$8,557$2,946NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$16,771$10,230$3,522$24,471$14,927$5,139
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)$30,062$18,338$6,313$38,637$23,569$8,114
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$15,149$9,241$3,181$15,444$9,421$3,243
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Repair of Nasal Septum 30520)NRNRNR$18,935$11,550$3,976
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
Decompression of Ulnar Nerve at Elbow 64718)$18,602$11,347$3,906$17,693$10,792$3,715
Removal of Adenoids 42830)$11,976$7,305$2,515$12,977$7,916$2,725
Hysteroscopy with Ablation 58563)$14,898$9,088$3,129$22,893$13,965$4,807
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Repair of wrist joints 25447)NRNRNR$22,641$13,811$4,755
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$20,693$12,623$4,346$30,001$18,301$6,300
Upper GI Endoscopy w Removal of Foreign Body 43247)$8,279$5,050$1,739$8,397$5,122$1,763
Repair of Hammertoe 28285)NRNRNRNRNRNR
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$13,923$8,493$2,924$18,838$11,491$3,956
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$26,383$16,093$5,540$30,355$18,516$6,375
REMOVAL OF TURBINATE BONES 30140)$15,669$9,558$3,290$20,356$12,417$4,275
REDUCTION OF LARGE BREAST 19318)$29,858$18,213$6,270$45,741$27,902$9,606
Information about quality and safety of care for St Joseph's Community Hospital of West Bend, Inc may be found at
* Estimated Insurance Payments based on average percent of billed charges collected.