45/100
#1,446 nationally
St Josephs Community Hospital West Bend
3200 Pleasant Valley Road, West Bend, WI 53095 · (262) 334-5533
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Josephs Community Hospital West Bend billed $5.34 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.3x
- volume-weighted across all its priced work
- Procedures priced
- 36
- inpatient and outpatient combined
- Rank in WI
- #53
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 39% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 56% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
150 | $16,129 | $2,454 | -17% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
117 | $15,122 | $2,052 | +29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
90 | $38,519 | $9,762 | -11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
80 | $59,381 | $14,344 | -9% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
65 | $66,477 | $11,815 | +6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
63 | $11,330 | $2,904 | -41% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
63 | $2,425 | $622 | -23% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
54 | $9,130 | $1,477 | -9% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
53 | $52,793 | $10,794 | -4% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
50 | $33,681 | $4,639 | +23% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$23,393 | $1,856 | +81% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$84,619 | $9,372 | +42% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,122 | $2,052 | +29% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$33,681 | $4,639 | +23% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$42,456 | $5,256 | +21% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$24,184 | $2,811 | +19% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$24,443 | $3,176 | +18% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$43,386 | $5,941 | +10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$11,330 | $2,904 | -41% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,303 | $1,423 | -38% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$29,576 | $7,216 | -28% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$24,553 | $5,838 | -24% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$2,425 | $622 | -23% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$42,983 | $8,903 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$16,129 | $2,454 | -17% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$24,794 | $5,206 | -17% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.