facebook tracking Complications of treatment with complications cost in Wisconsin: 4 hospitals compared (DRG 920)

Complications of treatment with complications in Wisconsin

What 4 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for complications of treatment with complications (DRG 920), from 2024 Medicare claims.

DRG 920 Inpatient 2024 Medicare data
Average charge $49,676 Hospital list price billed
Average payment $12,428 Medicare + patient + other payers
Medicare paid $8,252 Average per stay
State rank #21 of 29 1 = lowest average payment

Hospitals in Wisconsin billed an average of $49,676 for complications of treatment with complications, about 4.0 times the average total payment of $12,428. That payment is 8% above the U.S. average of $11,515.

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 $12,428Billed $49,676

About 25¢ was paid for every $1 hospitals in Wisconsin billed for this stay.

Wisconsin hospitals: complications of treatment 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 41 $59,218 $14,922 $9,416
Froedtert Mem Lutheran HsptlMilwaukee 24 $44,333 $11,192 $8,625
Aurora St Lukes Medical CenterMilwaukee 22 $51,556 $11,939 $6,627
St Mary's HospitalMadison 14 $27,937 $8,008 $6,758
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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

Highest

Complications of treatment with complications in other states

Questions

How much does complications of treatment with complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for complications of treatment with complications (DRG 920) at 4 hospitals in Wisconsin was billed at $49,676 on average, while the average total payment was $12,428, of which Medicare paid $8,252. 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 4.0 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.