Comprehensive Observation Services in Wisconsin
What 65 hospitals in Wisconsin charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$17,715
Hospital list price billed
Average allowed
$2,497
Medicare's payment + patient's share
Medicare paid
$1,983
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $17,715 for comprehensive observation services, about 7.1 times the average medicare-allowed amount of $2,497. That payment is 5% below the U.S. average of $2,634.
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 $2,497Billed $17,715
About 14¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: comprehensive observation services
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Waukesha Memorial HospitalWaukesha | 644 | $17,590 | $2,464 | $1,958 |
| Gundersen Luth Med CtrLa Crosse | 641 | $12,897 | $2,524 | $2,006 |
| St Mary's HospitalMadison | 616 | $20,966 | $2,522 | $2,003 |
| Aurora St Lukes Medical CenterMilwaukee | 605 | $21,277 | $2,512 | $1,988 |
| Fort HealthcareFort Atkinson | 405 | $17,331 | $2,479 | $1,972 |
| Meriter HsptlMadison | 398 | $21,650 | $2,530 | $2,010 |
| Bellin Memorial HsptlGreen Bay | 390 | $11,559 | $2,440 | $1,940 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 377 | $16,379 | $2,519 | $2,000 |
| University of Wi Hospitals & Clinics AuthorityMadison | 343 | $23,594 | $2,508 | $1,988 |
| Froedtert Mem Lutheran HsptlMilwaukee | 326 | $17,541 | $2,517 | $1,992 |
| Aurora Medical CenterGrafton | 317 | $19,325 | $2,454 | $1,949 |
| Luther Hospital Mayo Health SystemEau Claire | 309 | $14,448 | $2,597 | $2,067 |
| Mercy Hlth Sys CorpJanesville | 269 | $24,526 | $2,447 | $1,942 |
| Bay Area Med CtrMarinette | 249 | $20,189 | $2,570 | $2,041 |
| Froedtert SouthKenosha | 247 | $16,938 | $2,558 | $2,033 |
| Oconomowoc Mem HsptlOconomowoc | 233 | $16,300 | $2,442 | $1,937 |
| Aurora West Allis Medical CenterWest Allis | 223 | $20,184 | $2,431 | $1,926 |
| Community Mem HsptlMenomonee Falls | 216 | $15,924 | $2,466 | $1,958 |
| Monroe ClinicMonroe | 210 | $16,945 | $2,555 | $2,031 |
| Marshfield Medical CenterMarshfield | 184 | $12,956 | $2,612 | $2,079 |
| Aurora Sheboygan Mem Med CtrSheboygan | 180 | $18,939 | $2,422 | $1,920 |
| Aurora Baycare Med CtrGreen Bay | 179 | $19,417 | $2,422 | $1,920 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 163 | $21,011 | $2,549 | $2,026 |
| Aurora Med Ctr OshkoshOshkosh | 160 | $17,809 | $2,390 | $1,889 |
| Aurora Lakeland Med CtrElkhorn | 153 | $20,277 | $2,544 | $2,023 |
| Aurora Med Ctr KenoshaKenosha | 152 | $18,773 | $2,520 | $1,996 |
| St Josephs Com Hsptl West BendWest Bend | 150 | $16,129 | $2,454 | $1,946 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | 143 | $14,928 | $2,406 | $1,911 |
| Ascension SE Wisconsin HospitalMilwaukee | 143 | $15,827 | $2,462 | $1,958 |
| St Clare Hsptl Hlth SvcsBaraboo | 134 | $17,183 | $2,477 | $1,973 |
| Aurora Medical CenterSummit | 129 | $17,196 | $2,460 | $1,957 |
| St Elizabeth HsptlAppleton | 114 | $12,056 | $2,447 | $1,942 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 109 | $17,951 | $2,538 | $2,014 |
| Aurora Memorial Hsptl BurlingtonBurlington | 107 | $18,376 | $2,515 | $1,992 |
| St Agnes HsptlFond du Lac | 106 | $15,005 | $2,673 | $2,129 |
| St Vincent HsptlGreen Bay | 104 | $16,207 | $2,427 | $1,925 |
| Sauk Prairie Mem HsptlPrairie du Sac | 103 | $22,505 | $2,452 | $1,950 |
| St Nicholas HospitalSheboygan | 99 | $18,165 | $2,472 | $1,965 |
| Mile Bluff Medical Center, INCMauston | 95 | $25,134 | $2,623 | $2,090 |
| Aspirus Wausau HospitalWausau | 84 | $14,351 | $2,426 | $1,927 |
| Divine Savior HlthcarePortage | 83 | $13,346 | $2,555 | $2,034 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 82 | $15,996 | $2,425 | $1,927 |
| Marshfield Medical Center - Rice LakeRice Lake | 81 | $12,294 | $2,597 | $2,063 |
| Beaver Dam Com HsptlBeaver Dam | 80 | $17,445 | $2,496 | $1,987 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 79 | $16,912 | $2,468 | $1,961 |
| St Marys Hsptl Med CtrGreen Bay | 77 | $14,146 | $2,462 | $1,961 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 66 | $15,265 | $2,401 | $1,901 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 66 | $21,694 | $2,576 | $2,051 |
| Appleton Med CtrAppleton | 62 | $12,124 | $2,435 | $1,931 |
| Aurora Med Center-Washington CountyHartford | 53 | $16,131 | $2,421 | $1,913 |
| Thedacare Regional Med Ctr - NeenahNeenah | 53 | $12,607 | $2,329 | $1,841 |
| Holy Family Memorial INCManitowoc | 52 | $13,459 | $2,462 | $1,961 |
| Ascension Wisconsin Hosp Menomonee Falls CampusMenomonee Falls | 43 | $15,299 | $2,494 | $1,987 |
| Howard Young Med CtrWoodruff | 38 | $13,674 | $2,623 | $2,090 |
| Beloit Mem HsptlBeloit | 29 | $30,203 | $2,662 | $2,121 |
| Froedtert Community HospitalNew Berlin | 27 | $9,336 | $2,494 | $1,986 |
| Sacred Heart HospitalEau Claire | 24 | $18,435 | $2,597 | $2,069 |
| Aspirus Rhinelander HospitalRhinelander | 24 | $16,032 | $2,536 | $2,003 |
| Marshfield Medical Center - MinocquaMinocqua | 21 | $10,291 | $2,449 | $1,951 |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | 19 | $15,013 | $2,362 | $1,882 |
| Marshfield Medical Center - Eau ClaireEau Claire | 18 | $13,177 | $2,460 | $1,960 |
| St Josephs HospitalChippewa Falls | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| Marshfield Medical Center - River RegionStevens Point | – | – | – | – |
| Children's Hosp of WisconsinMilwaukee | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $2,329 |
|---|---|
| Wheaton Franciscan Healthcare- St FrancisMilwaukee, WI | $2,362 |
| Aurora Med Ctr OshkoshOshkosh, WI | $2,390 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $2,401 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers, WI | $2,406 |
Highest
| St Agnes HsptlFond du Lac, WI | $2,673 |
|---|---|
| Beloit Mem HsptlBeloit, WI | $2,662 |
| Howard Young Med CtrWoodruff, WI | $2,623 |
| Mile Bluff Medical Center, INCMauston, WI | $2,623 |
| Marshfield Medical CenterMarshfield, WI | $2,612 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Wisconsin?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 65 hospitals in Wisconsin was billed at $17,715 on average, while the average medicare-allowed amount was $2,497, of which Medicare paid $1,983. 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 service in Wisconsin, average charges were 7.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.