facebook tracking Coronary bypass without cardiac catheterization without major complications cost in Wisconsin: 10 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in Wisconsin

What 10 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $134,324 Hospital list price billed
Average payment $34,547 Medicare + patient + other payers
Medicare paid $27,338 Average per stay
State rank #19 of 42 1 = lowest average payment

Hospitals in Wisconsin billed an average of $134,324 for coronary bypass without cardiac catheterization without major complications, about 3.9 times the average total payment of $34,547. That payment is 9% below the U.S. average of $37,830.

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 $34,547Billed $134,324

About 26¢ 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: coronary bypass without cardiac catheterization 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
St Mary's HospitalMadison 48 $145,655 $30,050 $28,203
Aurora St Lukes Medical CenterMilwaukee 38 $141,800 $38,537 $25,103
Luther Hospital Mayo Health SystemEau Claire 21 $119,787 $36,684 $28,738
University of Wi Hospitals & Clinics AuthorityMadison 19 $198,142 $46,033 $31,928
Aurora Medical CenterGrafton 18 $121,751 $30,413 $23,648
Aspirus Wausau HospitalWausau 15 $103,621 $32,590 $25,187
Bellin Memorial HsptlGreen Bay 14 $73,409 $28,191 $26,559
St Vincent HsptlGreen Bay 14 $151,813 $31,287 $25,731
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee 11 $131,179 $38,586 $27,735
Gundersen Luth Med CtrLa Crosse 11 $97,424 $34,093 $32,290
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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

Bellin Memorial HsptlGreen Bay, WI$28,191
St Mary's HospitalMadison, WI$30,050
Aurora Medical CenterGrafton, WI$30,413
St Vincent HsptlGreen Bay, WI$31,287
Aspirus Wausau HospitalWausau, WI$32,590

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 10 hospitals in Wisconsin was billed at $134,324 on average, while the average total payment was $34,547, of which Medicare paid $27,338. 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 3.9 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.