Community Memorial Hospital of Menomonee Falls, Inc
W180 N8085 Town Hall Road
Menomonee Falls, WI 53051
262-251-1000
 
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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  
Charge
Private InsuranceMedicare
1640Normal Newborn, Birthweight 2500g+$3,378$1,892$743
2560Vaginal Delivery$15,665$8,773$3,446
3720Blood Infection/Septicemia$20,103$11,258$4,423
4194Heart Failure$15,426$8,639$3,394
5540Cesarean Delivery$20,237$11,333$4,452
6751Psychoses$8,554$4,790$1,882
7301Hip Replacement$46,358$25,961$10,199
8302Knee Replacement$46,418$25,994$10,212
9139PneumoniaNRNRNR
10753Bipolar Disorders$7,395$4,141$1,627
11775Alcohol Abuse/Dependence$7,545$4,225$1,660
12201Heart Abnormal Rhythm and Conduction Disorders$14,184$7,943$3,121
13133Respiratory failureNRNRNR
14140Chronic Obstructive Pulmonary Disease$13,192$7,387$2,902
15469Acute Kidney Injury$23,124$12,949$5,087
16045Stroke and Precerebral Occlusion with Infarct$21,199$11,871$4,664
17463Kidney/Urinary Tract Infection$17,762$9,947$3,908
18383Cellulitis & other skin infections$13,452$7,533$2,959
19750Schizophrenia$10,288$5,761$2,263
20174Percutaneous coronary intervention w AMI$77,173$43,217$16,978
21420Diabetes$11,374$6,369$2,502
22282Disorders of Pancreas Except Malignancy$18,169$10,175$3,997
23247Intestinal Obstruction without Surgery$23,053$12,910$5,072
24175Percutaneous coronary intervention w/o AMI$85,425$47,838$18,793
25308Hip & femur fracture repair$48,595$27,213$10,691
26190Circulatory Disorders with Heart Attack$19,276$10,794$4,241
27231Major large bowel procedures$62,344$34,913$13,716
28254Other Digestive System Diagnoses$21,487$12,033$4,727
29053Seizure$14,513$8,127$3,193
30754Depression$6,000$3,360$1,320
31137Respiratory Infections and InflammationsNRNRNR
32304Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature$72,491$40,595$15,948
33058Other Disorders of Nervous System$28,120$15,747$6,186
34134Pulmonary Embolism$13,052$7,309$2,871
35192Cardiac catheterization for other non-coronary conditions$30,157$16,888$6,635
36466Malfunction, reaction, complic of genitourinary device or procNRNRNR
37263Laparoscopic Cholecystectomy$42,013$23,527$9,243
38244Diverticulitis & Diverticulosis$25,685$14,384$5,651
39249Other gastroenteritis, nausea & vomiting$17,251$9,660$3,795
40241Peptic Ulcer/Gastritis$21,625$12,110$4,758
41710Infectious & parasitic diseases including HIV w O.R. procedure$46,097$25,814$10,141
42773Opioid Abuse/Dependence$6,431$3,601$1,415
43230Major small bowel procedures$48,909$27,389$10,760
44347Other Back/Neck Disorders, Fractures, Injuries$18,614$10,424$4,095
45322Shoulder & Elbow Joint Replacement$53,134$29,755$11,690
46861Signs & Symptoms$21,366$11,965$4,701
47313Other Knee/Lower Leg Surgery$41,389$23,178$9,106
48024Extracranial Vascular Procedures$41,815$23,417$9,199
49862Other Factors Influencing Health StatusNRNRNR
50253Other and Unspecified Gastrointestinal Hemorrhage$39,728$22,248$8,740
51181Lower Extremity Arterial Procedures$47,000$26,320$10,340
52021Craniotomy Except For TraumaNRNRNR
53351Other Musculoskeletal System and Connective Tissue Diagnoses$24,260$13,586$5,337
54426Non-hypovolemic sodium disorders$16,001$8,961$3,520
55812Poisoning of Medicinal AgentsNRNRNR
56663Red Blood Cell Disorders Except Sickle Cell Anemia Crisis$12,739$7,134$2,803
57248Major G.I. Bacterial Infections$19,615$10,984$4,315
58052Nontraumatic stupor & comaNRNRNR
59055Head trauma w coma >1 hr or hemorrhage$11,999$6,720$2,640
60113Epiglottitis, Ear Infection, URI and Laryngotracheitis$12,147$6,803$2,672
61166Coronary bypass w/o AMI or complex PDXNRNRNR
62721Postoperative and Post-Traumatic Infections$18,717$10,482$4,118
63755Neuroses Other Than Depression$10,507$5,884$2,312
64143Other respiratory diagnoses except signs, symptoms & minor diagnoses$13,739$7,694$3,023
65566Other Antepartum Diagnoses$21,801$12,209$4,796
66141Asthma$9,632$5,394$2,119
67696Other ChemotherapyNRNRNR
68199Hypertension$18,950$10,612$4,169
69321Upper Spinal Fusion$64,308$36,012$14,148
70171Pacemaker Implant without Heart Attack, Heart Failure or Shock$46,789$26,202$10,294
71197Peripheral and Other Vascular Disorders$14,683$8,223$3,230
72425Other Electrolyte Disorders$8,702$4,873$1,914
73284Disorders of gallbladder & biliary tract$28,255$15,823$6,216
74163Cardiac valve procedures w/o AMI or complex PDXNRNRNR
75541Vaginal Delivery with Sterilization$27,484$15,391$6,046

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)$9,261$5,186$2,037$16,697$9,350$3,673
Colonoscopy and Biopsy 45380)$6,730$3,769$1,481$8,263$4,627$1,818
Lesion Removal Colonoscopy by Snare Technique 45385)$7,396$4,142$1,627$7,962$4,459$1,752
Upper GI Endoscopy with Biopsy 43239)$6,483$3,630$1,426$8,109$4,541$1,784
Diagnostic Colonoscopy 45378)$5,919$3,315$1,302$7,643$4,280$1,681
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)$5,793$3,244$1,274$7,130$3,993$1,569
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)$6,069$3,398$1,335NRNRNR
Carpal Tunnel Surgery 64721)$7,055$3,951$1,552$7,908$4,429$1,740
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)NRNRNRNRNRNR
Uppr GI Endoscopy- Diagnostic 43235)$5,292$2,963$1,164$7,416$4,153$1,632
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)$14,883$8,335$3,274$30,272$16,952$6,660
Drain/Inject Major Joint or Bursa 20610)NRNRNR$10,794$6,044$2,375
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)NRNRNRNRNRNR
Creation of Eardrum Opening 69436)$8,841$4,951$1,945NRNRNR
Left Heart Artery/Ventricle Angiography 93458)$12,306$6,891$2,707$20,288$11,361$4,463
Unlisted Dental Surgery Procedure 41899)NRNRNRNRNRNR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)NRNRNRNRNRNR
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)$7,044$3,945$1,550$9,079$5,084$1,997
Laparoscopic Cholecystectomy 47562)$21,889$12,258$4,816$27,243$15,256$5,993
Esophageal Endoscopy with Dilation 43249)$6,463$3,620$1,422$7,147$4,002$1,572
Total Knee Arthroscopy 27447)$43,830$24,545$9,643$40,651$22,764$8,943
After Cataract Laser Surgery 66821)NRNRNRNRNRNR
Arthroscopic Rotator Cuff Repair 29827)$42,864$24,004$9,430$30,450$17,052$6,699
Cataract Surgery- Complex 66982)$10,140$5,679$2,231NRNRNR
Cystourethroscopy with Lithotripsy and Stent 52356)$19,958$11,176$4,391$25,037$14,021$5,508
Hysteroscopy with Biopsy 58558)$14,697$8,231$3,233$20,386$11,416$4,485
Removal of Tonsils And Adenoids - < Age 12 42820)NRNRNRNRNRNR
Uppr GI Endoscopy with Guide Wire 43248)NRNRNRNRNRNR
Laparoscopic Hernia Repair - Initial 49650)$29,271$16,392$6,440$33,123$18,549$7,287
Incision of Finger Tendon Sheath 26055)$7,404$4,146$1,629$8,575$4,802$1,887
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)$14,460$8,097$3,181$23,005$12,883$5,061
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)$23,250$13,020$5,115$24,098$13,495$5,302
Laparoscopy, Removal of Tubes & Ovaries 58571)$43,131$24,154$9,489$43,175$24,178$9,499
ABD Paracentesis w/Imaging 49083)NRNRNRNRNRNR
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)$15,069$8,439$3,315$20,511$11,486$4,512
Mastectomy, Partial 19301)$12,314$6,896$2,709$27,066$15,157$5,955
Cystourethroscopy with Stent 52332)$8,678$4,860$1,909$15,998$8,959$3,520
Laparoscopic Appendectomy 44970)$27,128$15,192$5,968$32,250$18,060$7,095
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)$23,819$13,339$5,240$29,026$16,255$6,386
Unlisted Cystourethoscopy 52000)$9,910$5,550$2,180$16,551$9,269$3,641
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)$14,919$8,355$3,282$30,063$16,835$6,614
Angioplasty - peripheral segment of the dialysis circuit 36902)NRNRNRNRNRNR
Coronary Artery Angio S&I 93454)$11,984$6,711$2,636$21,518$12,050$4,734
Wrist Endoscopy/Surgery 29848)NRNRNRNRNRNR
Removal of Tonsils 42826)$14,208$7,956$3,126NRNRNR
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)$15,481$8,669$3,406$31,510$17,645$6,932
Fragmenting of Kidney Stone 50590)NRNRNRNRNRNR
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)NRNRNR$29,844$16,713$6,566
Low Back Disk Surgery 63030)$28,170$15,775$6,197$26,092$14,611$5,740
Debridement Skin/Tissue 11042)$12,054$6,750$2,652$17,633$9,875$3,879
Biopsy breast w/stereotactic image; 1 lesion 19081)NRNRNRNRNRNR
Repair of Nasal Septum 30520)$14,241$7,975$3,133$25,159$14,089$5,535
Right and Left Heart Artery/Ventricle Angiography 93460)$13,758$7,705$3,027$15,384$8,615$3,384
Decompression of Ulnar Nerve at Elbow 64718)$13,419$7,515$2,952$14,037$7,861$3,088
SHOULDER ARTHROSCOPY/SURGERY 29823)NRNRNR$28,153$15,765$6,194
Removal of Adenoids 42830)$9,874$5,530$2,172NRNRNR
Hysteroscopy with Ablation 58563)$15,843$8,872$3,485$22,585$12,648$4,969
DX BONE MARROW BX & ASPIR 38222)NRNRNRNRNRNR
Implant Neuroelectrodes 63650)NRNRNRNRNRNR
Repair of wrist joints 25447)$15,738$8,813$3,462$17,584$9,847$3,868
Repair of upper eyelid with excessive skin 15823)$8,939$5,006$1,966$19,064$10,676$4,194
ESOPHAGUS MOTILITY STUDY 91010)NRNRNRNRNRNR
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662)$22,758$12,744$5,007$32,552$18,229$7,161
Upper GI Endoscopy w Removal of Foreign Body 43247)$7,733$4,331$1,701$12,050$6,748$2,651
Repair of Hammertoe 28285)$11,918$6,674$2,622$14,390$8,058$3,166
REMOVAL OF SPINAL LAMINA 63047)$25,486$14,272$5,607$29,371$16,448$6,462
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)$11,530$6,457$2,537$17,648$9,883$3,883
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609)$30,784$17,239$6,773$30,271$16,952$6,660
REMOVAL OF TURBINATE BONES 30140)NRNRNR$24,241$13,575$5,333
REDUCTION OF LARGE BREAST 19318)$32,170$18,015$7,077$46,515$26,049$10,233
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.