Top 75 Reports

	St Joseph's Community Hospital of West Bend, Inc 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 2018 - June 2019

(Uncomplicated Cases Only)

				Estimated Insurance Payments *
Rank	APR- DRG	Description	Median Charge	Private Insurance	Medicare
1	640	Normal Newborn, Birthweight 2500g+	$4,487	$2,737	$942
2	560	Vaginal Delivery	$13,686	$8,348	$2,874
3	720	Blood Infection/Septicemia	$16,541	$10,090	$3,474
4	194	Heart Failure	$15,252	$9,304	$3,203
5	540	Cesarean Delivery	$18,960	$11,565	$3,982
6	751	Psychoses	NR	NR	NR
7	301	Hip Replacement	$54,354	$33,156	$11,414
8	302	Knee Replacement	$51,204	$31,235	$10,753
9	139	Pneumonia	$20,178	$12,308	$4,237
10	753	Bipolar Disorders	NR	NR	NR
11	775	Alcohol Abuse/Dependence	$21,833	$13,318	$4,585
12	201	Heart Abnormal Rhythm and Conduction Disorders	$13,951	$8,510	$2,930
13	133	Respiratory failure	NR	NR	NR
14	140	Chronic Obstructive Pulmonary Disease	$16,617	$10,136	$3,490
15	469	Acute Kidney Injury	NR	NR	NR
16	045	Stroke and Precerebral Occlusion with Infarct	$23,689	$14,450	$4,975
17	463	Kidney/Urinary Tract Infection	$16,678	$10,174	$3,502
18	383	Cellulitis & other skin infections	$15,105	$9,214	$3,172
19	750	Schizophrenia	NR	NR	NR
20	174	Percutaneous coronary intervention w AMI	NR	NR	NR
21	420	Diabetes	$9,135	$5,572	$1,918
22	282	Disorders of Pancreas Except Malignancy	$21,145	$12,899	$4,440
23	247	Intestinal Obstruction without Surgery	$22,101	$13,481	$4,641
24	175	Percutaneous coronary intervention w/o AMI	NR	NR	NR
25	308	Hip & femur fracture repair	$47,045	$28,698	$9,879
26	190	Circulatory Disorders with Heart Attack	$14,127	$8,617	$2,967
27	231	Major large bowel procedures	$70,892	$43,244	$14,887
28	254	Other Digestive System Diagnoses	$14,715	$8,976	$3,090
29	053	Seizure	NR	NR	NR
30	754	Depression	NR	NR	NR
31	137	Respiratory Infections and Inflammations	$20,731	$12,646	$4,354
32	304	Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature	NR	NR	NR
33	058	Other Disorders of Nervous System	$22,990	$14,024	$4,828
34	134	Pulmonary Embolism	$17,390	$10,608	$3,652
35	192	Cardiac catheterization for other non-coronary conditions	NR	NR	NR
36	466	Malfunction, reaction, complic of genitourinary device or proc	NR	NR	NR
37	263	Laparoscopic Cholecystectomy	$34,453	$21,016	$7,235
38	244	Diverticulitis & Diverticulosis	$21,137	$12,894	$4,439
39	249	Other gastroenteritis, nausea & vomiting	$17,545	$10,702	$3,684
40	241	Peptic Ulcer/Gastritis	$21,463	$13,093	$4,507
41	710	Infectious & parasitic diseases including HIV w O.R. procedure	NR	NR	NR
42	773	Opioid Abuse/Dependence	NR	NR	NR
43	230	Major small bowel procedures	$59,217	$36,122	$12,435
44	347	Other Back/Neck Disorders, Fractures, Injuries	$18,305	$11,166	$3,844
45	322	Shoulder & Elbow Joint Replacement	NR	NR	NR
46	861	Signs & Symptoms	$16,951	$10,340	$3,560
47	313	Other Knee/Lower Leg Surgery	$38,232	$23,322	$8,029
48	024	Extracranial Vascular Procedures	NR	NR	NR
49	862	Other Factors Influencing Health Status	NR	NR	NR
50	253	Other and Unspecified Gastrointestinal Hemorrhage	$19,170	$11,694	$4,026
51	181	Lower Extremity Arterial Procedures	NR	NR	NR
52	021	Craniotomy Except For Trauma	NR	NR	NR
53	351	Other Musculoskeletal System and Connective Tissue Diagnoses	$16,384	$9,994	$3,441
54	426	Non-hypovolemic sodium disorders	$33,527	$20,451	$7,041
55	812	Poisoning of Medicinal Agents	$24,844	$15,155	$5,217
56	663	Red Blood Cell Disorders Except Sickle Cell Anemia Crisis	$11,604	$7,079	$2,437
57	248	Major G.I. Bacterial Infections	NR	NR	NR
58	052	Nontraumatic stupor & coma	$36,778	$22,434	$7,723
59	055	Head trauma w coma >1 hr or hemorrhage	$9,552	$5,827	$2,006
60	113	Epiglottitis, Ear Infection, URI and Laryngotracheitis	$11,904	$7,262	$2,500
61	166	Coronary bypass w/o AMI or complex PDX	NR	NR	NR
62	721	Postoperative and Post-Traumatic Infections	$31,302	$19,094	$6,573
63	755	Neuroses Other Than Depression	NR	NR	NR
64	143	Other respiratory diagnoses except signs, symptoms & minor diagnoses	NR	NR	NR
65	566	Other Antepartum Diagnoses	NR	NR	NR
66	141	Asthma	$39,255	$23,945	$8,244
67	696	Other Chemotherapy	NR	NR	NR
68	199	Hypertension	$13,915	$8,488	$2,922
69	321	Upper Spinal Fusion	NR	NR	NR
70	171	Pacemaker Implant without Heart Attack, Heart Failure or Shock	NR	NR	NR
71	197	Peripheral and Other Vascular Disorders	NR	NR	NR
72	425	Other Electrolyte Disorders	NR	NR	NR
73	284	Disorders of gallbladder & biliary tract	NR	NR	NR
74	163	Cardiac valve procedures w/o AMI or complex PDX	NR	NR	NR
75	541	Vaginal 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 Procedures			With 1 or More Additional Procedures
Principal Procedure	Median Charge	Average Commercial Insurance Payment	Average Medicare Insurance Payment*	Median Charge	Average Commercial Insurance Payment	Average 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)	NR	NR	NR	NR	NR	NR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)	NR	NR	NR	NR	NR	NR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)	NR	NR	NR	NR	NR	NR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)	$5,174	$3,156	$1,087	NR	NR	NR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)	$5,193	$3,168	$1,091	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	$17,485	$10,666	$3,672
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)	NR	NR	NR	NR	NR	NR
Creation of Eardrum Opening 69436)	$8,781	$5,356	$1,844	NR	NR	NR
Left Heart Artery/Ventricle Angiography 93458)	NR	NR	NR	NR	NR	NR
Unlisted Dental Surgery Procedure 41899)	$13,036	$7,952	$2,738	NR	NR	NR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)	NR	NR	NR	NR	NR	NR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
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	$2,587	NR	NR	NR
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	$4,637	NR	NR	NR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)	NR	NR	NR	NR	NR	NR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)	NR	NR	NR	NR	NR	NR
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	$7,070	NR	NR	NR
ABD Paracentesis w/Imaging 49083)	NR	NR	NR	NR	NR	NR
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	$3,434	NR	NR	NR
Angioplasty - peripheral segment of the dialysis circuit 36902)	NR	NR	NR	NR	NR	NR
Coronary Artery Angio S&I 93454)	NR	NR	NR	NR	NR	NR
Wrist Endoscopy/Surgery 29848)	NR	NR	NR	NR	NR	NR
Removal of Tonsils 42826)	$14,027	$8,557	$2,946	NR	NR	NR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)	$16,771	$10,230	$3,522	$24,471	$14,927	$5,139
Fragmenting of Kidney Stone 50590)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
Debridement Skin/Tissue 11042)	$15,149	$9,241	$3,181	$15,444	$9,421	$3,243
Biopsy breast w/stereotactic image; 1 lesion 19081)	NR	NR	NR	NR	NR	NR
Repair of Nasal Septum 30520)	NR	NR	NR	$18,935	$11,550	$3,976
Right and Left Heart Artery/Ventricle Angiography 93460)	NR	NR	NR	NR	NR	NR
Decompression of Ulnar Nerve at Elbow 64718)	$18,602	$11,347	$3,906	$17,693	$10,792	$3,715
SHOULDER ARTHROSCOPY/SURGERY 29823)	NR	NR	NR	$32,572	$19,869	$6,840
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
DX BONE MARROW BX & ASPIR 38222)	NR	NR	NR	NR	NR	NR
Implant Neuroelectrodes 63650)	NR	NR	NR	NR	NR	NR
Repair of wrist joints 25447)	NR	NR	NR	$22,641	$13,811	$4,755
Repair of upper eyelid with excessive skin 15823)	NR	NR	NR	NR	NR	NR
ESOPHAGUS MOTILITY STUDY 91010)	NR	NR	NR	NR	NR	NR
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)	NR	NR	NR	NR	NR	NR
REMOVAL OF SPINAL LAMINA 63047)	NR	NR	NR	NR	NR	NR
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 http://www.wicheckpoint.org

* Estimated Insurance Payments based on average percent of billed charges collected.