CostGrade

All published prices at Waukesha Memorial Hospital

104 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

C
Procedure Patients Charged Actually paid vs national
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

644 $17,590 $2,464 -9%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

224 $56,812 $13,037 -13%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

220 $5,125 $611 +63%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

187 $12,447 $1,454 +23%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

164 $37,546 $8,665 -14%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

153 $23,591 $2,945 -7%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

131 $11,287 $1,856 -13%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

128 $45,919 $5,216 +31%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

125 $20,195 $3,156 about average
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

117 $34,449 $4,682 +25%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

100 $14,301 $1,733 +22%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

92 $20,643 $2,904 +8%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

74 $23,817 $5,093 -20%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

72 $31,328 $7,143 -20%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

71 $20,833 $2,560 +18%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

68 $107,094 $22,148 -14%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

66 $60,231 $10,014 -11%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

60 $41,946 $6,517 +5%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

58 $37,712 $6,661 -9%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

58 $76,579 $9,372 +28%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

56 $32,469 $5,560 about average
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

53 $44,575 $8,618 -4%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

53 $43,012 $5,941 +9%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

52 $120,524 $21,581 -9%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

50 $37,896 $10,339 -31%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

46 $27,980 $5,454 -12%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

46 $5,834 $1,443 -32%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

45 $29,389 $7,411 -28%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

44 $11,882 $1,727 +5%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

38 $35,198 $5,207 about average
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

36 $62,230 $11,559 -35%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

35 $48,010 $9,721 -7%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

34 $44,807 $10,963 -27%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

33 $25,913 $6,015 -15%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

33 $37,048 $10,345 -35%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

32 $28,090 $3,472 +18%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

31 $37,563 $6,924 -18%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

31 $81,202 $14,868 about average
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

31 $21,893 $2,949 +7%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

30 $130,620 $19,156 +30%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

30 $42,907 $2,984 +85%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

30 $15,797 $2,772 -13%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

29 $31,371 $6,711 -16%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

29 $155,320 $30,930 +7%
Fainting

MS-DRG 312 · Inpatient stay

28 $32,981 $5,859 -10%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

28 $31,459 $5,594 about average
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

28 $27,280 $6,877 -30%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

28 $69,317 $11,974 +11%
COPD (severe)

MS-DRG 190 · Inpatient stay

27 $34,255 $8,472 -18%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

27 $206,061 $35,737 +9%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

27 $32,798 $5,207 +7%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

26 $27,644 $6,056 -16%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

25 $30,797 $8,798 -35%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

25 $29,521 $3,412 +30%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

24 $122,673 $30,664 -31%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

24 $51,974 $5,335 +51%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

23 $23,363 $6,025 -24%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

23 $40,644 $10,062 -23%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

22 $33,106 $7,740 -13%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

21 $40,224 $6,425 -8%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

21 $18,702 $3,902 -26%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

20 $47,198 $9,560 about average
COPD (with complications)

MS-DRG 191 · Inpatient stay

20 $23,823 $5,534 -28%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

19 $8,602 $1,464 -23%
Stroke (severe)

MS-DRG 064 · Inpatient stay

18 $53,247 $10,718 -30%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

18 $28,916 $6,608 -26%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

17 $32,684 $6,209 -5%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

17 $38,773 $6,820 about average
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

16 $53,142 $9,428 about average
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

16 $83,328 $12,604 -18%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

16 $33,425 $9,990 -42%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

16 $73,672 $13,604 -14%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

16 $35,840 $6,325 -4%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

16 $21,905 $5,932 -40%
Level 3 Airway Endoscopy

APC 5153 · Hospital outpatient visit

16 $14,959 $1,469 +31%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

15 $31,830 $8,601 -33%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

15 $60,690 $12,812 -15%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $45,527 $9,056 -11%
Other Major Cardiovascular Procedures with Major Complications

MS-DRG 270 · Inpatient stay

15 $134,166 $36,913 -40%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

15 $145,301 $29,882 about average
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

15 $20,324 $2,558 +23%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

14 $46,409 $7,540 -15%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

14 $29,360 $6,614 -22%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

14 $88,275 $11,394 +7%
Major Gastrointestinal Disorders and Peritoneal Infections with Complications

MS-DRG 372 · Inpatient stay

14 $34,396 $6,678 -13%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

14 $104,642 $17,711 +10%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

14 $73,529 $19,880 -9%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

14 $62,528 $6,884 +53%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

13 $58,290 $11,860 -12%
Respiratory Failure

MS-DRG 189 · Inpatient stay

13 $54,091 $8,619 +12%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

13 $73,697 $15,756 -21%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

13 $27,441 $5,241 -15%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

13 $41,801 $6,235 +9%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

12 $60,846 $15,302 -31%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

12 $91,268 $22,176 -36%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

12 $194,249 $37,900 +8%
Poisoning and Toxic Effects of Drugs with Major Complications

MS-DRG 917 · Inpatient stay

12 $36,834 $9,561 -46%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

12 $34,390 $4,674 -5%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

11 $40,080 $11,112 -28%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

11 $75,636 $15,387 -26%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.