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 2019 - June 2020
(Uncomplicated Cases Only)
    Estimated Insurance Payments *
RankAPR- DRGDescriptionMedian  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$4,606$2,810$967
2560Vaginal Delivery$16,444$10,031$3,453
3720Blood Infection/Septicemia$17,862$10,896$3,751
4194Heart Failure$14,639$8,930$3,074
5751PsychosesNRNRNR
6540Cesarean Delivery$19,862$12,116$4,171
7301Hip Replacement$56,367$34,384$11,837
8302Knee Replacement$54,745$33,394$11,496
9139Pneumonia$19,190$11,706$4,030
10753Bipolar DisordersNRNRNR
11775Alcohol Abuse/Dependence$13,916$8,489$2,922
12201Heart Abnormal Rhythm and Conduction Disorders$16,127$9,837$3,387
13133Respiratory failureNRNRNR
14045Stroke and Precerebral Occlusion with Infarct$26,101$15,922$5,481
15469Acute Kidney InjuryNRNRNR
16140Chronic Obstructive Pulmonary Disease$9,870$6,021$2,073
17463Kidney/Urinary Tract Infection$20,028$12,217$4,206
18174Percutaneous coronary intervention w AMINRNRNR
19383Cellulitis & other skin infections$13,964$8,518$2,932
20750SchizophreniaNRNRNR
21137Respiratory Infections and InflammationsNRNRNR
22420Diabetes$14,754$9,000$3,098
23282Disorders of Pancreas Except Malignancy$25,318$15,444$5,317
24308Hip & femur fracture repair$52,712$32,154$11,070
25247Intestinal Obstruction without Surgery$20,130$12,279$4,227
26231Major large bowel procedures$77,315$47,162$16,236
27190Circulatory Disorders with Heart Attack$16,995$10,367$3,569
28710Infectious & parasitic diseases including HIV w O.R. procedureNRNRNR
29058Other Disorders of Nervous System$44,365$27,063$9,317
30466Malfunction, reaction, complic of genitourinary device or proc$10,708$6,532$2,249
31254Other Digestive System Diagnoses$19,924$12,154$4,184
32754Depression$14,015$8,549$2,943
33134Pulmonary Embolism$16,428$10,021$3,450
34304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back CurvatureNRNRNR
35053Seizure$14,766$9,008$3,101
36241Peptic Ulcer/Gastritis$17,370$10,596$3,648
37192Cardiac catheterization for other non-coronary conditionsNRNRNR
38175Percutaneous coronary intervention w/o AMINRNRNR
39244Diverticulitis & Diverticulosis$23,758$14,493$4,989
40263Laparoscopic Cholecystectomy$48,367$29,504$10,157
41322Shoulder & Elbow Joint ReplacementNRNRNR
42249Other gastroenteritis, nausea & vomiting$17,825$10,873$3,743
43862Other Factors Influencing Health StatusNRNRNR
44773Opioid Abuse/DependenceNRNRNR
45230Major small bowel procedures$59,382$36,223$12,470
46313Other Knee/Lower Leg Surgery$45,046$27,478$9,460
47426Non-hypovolemic sodium disorders$14,740$8,992$3,095
48861Signs & Symptoms$21,109$12,877$4,433
49253Other and Unspecified Gastrointestinal Hemorrhage$25,772$15,721$5,412
50347Other Back/Neck Disorders, Fractures, Injuries$21,157$12,906$4,443
51566Other Antepartum Diagnoses$27,686$16,889$5,814
52052Nontraumatic stupor & coma$12,433$7,584$2,611
53248Major G.I. Bacterial Infections$15,537$9,477$3,263
54182Other Peripheral Vascular ProceduresNRNRNR
55663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$33,472$20,418$7,029
56055Head trauma w coma >1 hr or hemorrhageNRNRNR
57351Other Musculoskeletal System and Connective Tissue Diagnoses$28,985$17,681$6,087
58755Neuroses Other Than DepressionNRNRNR
59166Coronary bypass w/o AMI or complex PDXNRNRNR
60021Craniotomy Except For TraumaNRNRNR
61721Postoperative and Post-Traumatic Infections$12,192$7,437$2,560
62280Alcoholic Liver Disease$18,228$11,119$3,828
63113Epiglottitis, Ear Infection, URI and Laryngotracheitis$13,871$8,462$2,913
64817Overdose$9,100$5,551$1,911
65143Other respiratory diagnoses except signs, symptoms & minor diagnosesNRNRNR
66425Other Electrolyte Disorders$16,319$9,955$3,427
67024Extracranial Vascular ProceduresNRNRNR
68539Cesarean delivery with sterlization$18,229$11,119$3,828
69812Poisoning of Medicinal Agents$14,155$8,634$2,973
70171Pacemaker Implant without Heart Attack, Heart Failure or ShockNRNRNR
71284Disorders of gallbladder & biliary tract$16,119$9,832$3,385
72321Upper Spinal Fusion$52,856$32,242$11,100
73696Other ChemotherapyNRNRNR
74197Peripheral and Other Vascular Disorders$8,756$5,341$1,839
75042Degenerative nervous system disorders exc mult sclerosis$17,617$10,746$3,700

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 2019 - June 2020

 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)$10,317$6,293$2,167$12,148$7,410$2,551
Colonoscopy and Biopsy 45380)$6,341$3,868$1,332$8,341$5,088$1,752
Lesion Removal Colonoscopy by Snare Technique 45385)$7,239$4,416$1,520$8,494$5,181$1,784
Upper GI Endoscopy with Biopsy 43239)$5,849$3,568$1,228$7,810$4,764$1,640
Diagnostic Colonoscopy 45378)$6,028$3,677$1,266$7,404$4,516$1,555
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 ; Colonoscopy, High Risk G0105)$5,416$3,304$1,137NRNRNR
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)$5,411$3,301$1,136$8,415$5,133$1,767
Carpal Tunnel Surgery 64721)$8,661$5,283$1,819$9,876$6,024$2,074
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$4,982$3,039$1,046$7,959$4,855$1,671
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$17,865$10,898$3,752$18,564$11,324$3,898
Drain/Inject Major Joint or Bursa 20610)NRNRNRNRNRNR
Total Knee Arthroscopy 27447)$50,368$30,725$10,577$50,888$31,042$10,686
Left Heart Artery/Ventricle Angiography 93458)NRNRNRNRNRNR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$9,791$5,972$2,056NRNRNR
Unlisted Dental Surgery Procedure 41899)$14,189$8,655$2,980NRNRNR
Esophageal Endoscopy with Dilation 43249)$5,982$3,649$1,256$7,312$4,461$1,536
Laparoscopic Cholecystectomy 47562)$22,498$13,724$4,725$28,055$17,114$5,892
Arthroscopic Rotator Cuff Repair 29827)NRNRNR$35,471$21,637$7,449
Cystourethroscopy with Lithotripsy and Stent 52356)$23,092$14,086$4,849$28,867$17,609$6,062
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Hysteroscopy with Biopsy 58558)$17,221$10,505$3,617$23,093$14,087$4,850
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$26,921$16,422$5,653$27,554$16,808$5,786
Uppr GI Endoscopy with Guide Wire 43248)$5,202$3,173$1,092$6,040$3,684$1,268
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)NRNRNRNRNRNR
Removal of Tonsils And Adenoids - < Age 12 42820)$14,501$8,845$3,045NRNRNR
Cataract Surgery- Complex 66982)$11,051$6,741$2,321NRNRNR
Incision of Finger Tendon Sheath 26055)$7,322$4,466$1,538$9,736$5,939$2,045
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Laparoscopic Appendectomy 44970)$25,424$15,509$5,339$35,253$21,504$7,403
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$16,991$10,364$3,568NRNRNR
Laparoscopy, Removal of Tubes & Ovaries 58571)NRNRNRNRNRNR
Cystourethroscopy with Stent 52332)$12,264$7,481$2,576$21,555$13,148$4,526
Laparoscopy - Removal of Adnexal Structures 58661)$22,839$13,932$4,796$32,142$19,606$6,750
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)NRNRNRNRNRNR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)NRNRNRNRNRNR
Unlisted Cystourethoscopy 52000)$9,223$5,626$1,937$12,316$7,512$2,586
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Mastectomy, Partial 19301)$14,418$8,795$3,028$24,766$15,107$5,201
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$18,290$11,157$3,841$25,694$15,673$5,396
Coronary Artery Angio S&I 93454)NRNRNRNRNRNR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$25,842$15,764$5,427$31,132$18,990$6,538
TOTAL HIP ARTHROPLASTY 27130)$52,596$32,084$11,045NRNRNR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$19,170$11,694$4,026NRNRNR
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
FNA BX W/US GDN 1ST LES 10005)NRNRNRNRNRNR
Debridement Skin/Tissue 11042)$16,730$10,205$3,513NRNRNR
Low Back Disk Surgery 63030)NRNRNRNRNRNR
Removal of Tonsils 42826)$13,552$8,267$2,846NRNRNR
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$35,546$21,683$7,465
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$18,140$11,065$3,809$24,973$15,234$5,244
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$15,965$9,739$3,353$25,365$15,473$5,327
Decompression of Ulnar Nerve at Elbow 64718)$16,375$9,989$3,439$16,096$9,819$3,380
Right and Left Heart Artery/Ventricle Angiography 93460)NRNRNRNRNRNR
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$31,812$19,405$6,680
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Upper GI Endoscopy w Removal of Foreign Body 43247)NRNRNR$11,191$6,827$2,350
Removal of Adenoids 42830)NRNRNR$17,026$10,386$3,575
Repair of wrist joints 25447)NRNRNR$20,610$12,572$4,328
Hysteroscopy with Ablation 58563)$17,478$10,662$3,670$22,925$13,984$4,814
REMOVAL OF SPINAL LAMINA 63047)NRNRNRNRNRNR
Repair of upper eyelid with excessive skin 15823)NRNRNRNRNRNR
REPAIR DETACHED RETINA 67108)NRNRNRNRNRNR
TX ATRIAL FIB PULM VEIN ISOL 93656)NRNRNRNRNRNR
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$28,368$17,305$5,957$30,052$18,332$6,311
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
INSERT ANT SEGMENT DRAIN INT 0191T)NRNRNR$23,340$14,238$4,901
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.