Cellulitis without major complications in Wisconsin
What 30 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for cellulitis without major complications (DRG 603), from 2024 Medicare claims.
Average charge
$28,991
Hospital list price billed
Average payment
$7,732
Medicare + patient + other payers
Medicare paid
$5,625
Average per stay
State rank
#20 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $28,991 for cellulitis without major complications, about 3.7 times the average total payment of $7,732. That payment is 11% below the U.S. average of $8,642.
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 $7,732Billed $28,991
About 27¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Wisconsin:
Wisconsin hospitals: cellulitis without major 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 |
|---|---|---|---|---|
| Aurora St Lukes Medical CenterMilwaukee | 50 | $38,899 | $8,450 | $6,052 |
| Luther Hospital Mayo Health SystemEau Claire | 44 | $25,234 | $7,854 | $5,598 |
| Meriter HsptlMadison | 44 | $30,581 | $7,638 | $5,440 |
| University of Wi Hospitals & Clinics AuthorityMadison | 43 | $32,686 | $10,799 | $6,451 |
| Froedtert Mem Lutheran HsptlMilwaukee | 35 | $32,151 | $9,932 | $6,605 |
| Waukesha Memorial HospitalWaukesha | 33 | $25,913 | $6,015 | $4,560 |
| Froedtert SouthKenosha | 30 | $32,130 | $6,770 | $5,413 |
| St Mary's HospitalMadison | 30 | $30,175 | $6,958 | $5,140 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 29 | $27,319 | $7,949 | $6,321 |
| Aurora West Allis Medical CenterWest Allis | 28 | $29,630 | $7,878 | $5,082 |
| Aurora Medical CenterGrafton | 24 | $34,662 | $6,039 | $5,087 |
| Aurora Sheboygan Mem Med CtrSheboygan | 23 | $24,686 | $6,454 | $5,460 |
| Mercy Hlth Sys CorpJanesville | 22 | $36,291 | $7,150 | $5,501 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 21 | $18,822 | $10,260 | $5,275 |
| St Clare Hsptl Hlth SvcsBaraboo | 20 | $33,166 | $8,294 | $6,356 |
| Aurora Med Ctr KenoshaKenosha | 19 | $31,278 | $6,604 | $5,187 |
| Gundersen Luth Med CtrLa Crosse | 18 | $13,444 | $7,813 | $6,281 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 18 | $30,196 | $6,486 | $4,945 |
| Aurora Medical CenterSummit | 17 | $29,987 | $6,172 | $5,214 |
| Community Mem HsptlMenomonee Falls | 15 | $22,160 | $6,804 | $5,243 |
| Ascension SE Wisconsin HospitalMilwaukee | 15 | $28,678 | $8,648 | $5,549 |
| Monroe ClinicMonroe | 14 | $29,216 | $7,970 | $6,225 |
| Beloit Mem HsptlBeloit | 14 | $42,440 | $8,631 | $7,351 |
| Marshfield Medical CenterMarshfield | 13 | $21,600 | $7,929 | $6,151 |
| Bellin Memorial HsptlGreen Bay | 13 | $14,852 | $6,769 | $5,396 |
| St Josephs Com Hsptl West BendWest Bend | 12 | $26,544 | $5,680 | $4,456 |
| Aspirus Wausau HospitalWausau | 11 | $20,928 | $6,843 | $4,657 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | 11 | $18,146 | $7,844 | $6,360 |
| Oconomowoc Mem HsptlOconomowoc | 11 | $21,956 | $5,764 | $4,132 |
| St Agnes HsptlFond du Lac | 11 | $26,586 | $6,733 | $5,695 |
Lowest and highest payments in Wisconsin
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Josephs Com Hsptl West BendWest Bend, WI | $5,680 |
|---|---|
| Oconomowoc Mem HsptlOconomowoc, WI | $5,764 |
| Waukesha Memorial HospitalWaukesha, WI | $6,015 |
| Aurora Medical CenterGrafton, WI | $6,039 |
| Aurora Medical CenterSummit, WI | $6,172 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $10,799 |
|---|---|
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $10,260 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $9,932 |
| Ascension SE Wisconsin HospitalMilwaukee, WI | $8,648 |
| Beloit Mem HsptlBeloit, WI | $8,631 |
Cellulitis without major complications in other states
Questions
How much does cellulitis without major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for cellulitis without major complications (DRG 603) at 30 hospitals in Wisconsin was billed at $28,991 on average, while the average total payment was $7,732, of which Medicare paid $5,625. 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 3.7 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.