facebook tracking Coagulation disorders cost in Wisconsin: 7 hospitals compared (DRG 813)

Coagulation disorders in Wisconsin

What 7 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for coagulation disorders (DRG 813), from 2024 Medicare claims.

DRG 813 Inpatient 2024 Medicare data
Average charge $44,658 Hospital list price billed
Average payment $14,198 Medicare + patient + other payers
Medicare paid $11,569 Average per stay
State rank #10 of 39 1 = lowest average payment

Hospitals in Wisconsin billed an average of $44,658 for coagulation disorders, about 3.1 times the average total payment of $14,198. That payment is 20% below the U.S. average of $17,707.

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 $14,198Billed $44,658

About 32¢ was paid for every $1 hospitals in Wisconsin billed for this stay.

Wisconsin hospitals: coagulation disorders

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
St Mary's HospitalMadison 38 $40,374 $12,348 $10,294
Aurora Baycare Med CtrGreen Bay 23 $42,025 $11,274 $9,906
Aspirus Wausau HospitalWausau 18 $36,958 $11,358 $10,231
Luther Hospital Mayo Health SystemEau Claire 16 $30,512 $12,100 $10,806
Aspirus Rhinelander HospitalRhinelander 11 $37,235 $13,479 $12,121
University of Wi Hospitals & Clinics AuthorityMadison 11 $104,697 $38,482 $24,118
Aurora Medical CenterGrafton 11 $45,523 $10,833 $9,646
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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

Aurora Medical CenterGrafton, WI$10,833
Aurora Baycare Med CtrGreen Bay, WI$11,274
Aspirus Wausau HospitalWausau, WI$11,358
Luther Hospital Mayo Health SystemEau Claire, WI$12,100
St Mary's HospitalMadison, WI$12,348

Highest

Coagulation disorders in other states

Questions

How much does coagulation disorders cost in Wisconsin?

In 2024 Medicare data, a hospital stay for coagulation disorders (DRG 813) at 7 hospitals in Wisconsin was billed at $44,658 on average, while the average total payment was $14,198, of which Medicare paid $11,569. 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 3.1 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.