Autologous bone marrow transplant with complications in Wisconsin
What 2 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for autologous bone marrow transplant with complications (DRG 016), from 2024 Medicare claims.
Average charge
$205,422
Hospital list price billed
Average payment
$69,881
Medicare + patient + other payers
Medicare paid
$56,123
Average per stay
Volume
42
Medicare hospital stays
Hospitals in Wisconsin billed an average of $205,422 for autologous bone marrow transplant with complications, about 2.9 times the average total payment of $69,881. That payment is 6% below the U.S. average of $74,516.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $69,881Billed $205,422
About 34¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Wisconsin hospitals: autologous bone marrow transplant with complications
Every Wisconsin hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 28 | $212,464 | $74,366 | $57,692 |
| Froedtert Mem Lutheran HsptlMilwaukee | 14 | $191,337 | $60,913 | $52,985 |
Autologous bone marrow transplant with complications in other states
Questions
How much does autologous bone marrow transplant with complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for autologous bone marrow transplant with complications (DRG 016) at 2 hospitals in Wisconsin was billed at $205,422 on average, while the average total payment was $69,881, of which Medicare paid $56,123. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Wisconsin, average charges were 2.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.