facebook tracking Craniotomy and endovascular intracranial procedures with major complications cost in Wisconsin: 11 hospitals compared (DRG 025)

Craniotomy and endovascular intracranial procedures with major complications in Wisconsin

What 11 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for craniotomy and endovascular intracranial procedures with major complications (DRG 025), from 2024 Medicare claims.

DRG 025 Inpatient 2024 Medicare data
Average charge $168,326 Hospital list price billed
Average payment $45,016 Medicare + patient + other payers
Medicare paid $36,697 Average per stay
State rank #30 of 41 1 = lowest average payment

Hospitals in Wisconsin billed an average of $168,326 for craniotomy and endovascular intracranial procedures with major complications, about 3.7 times the average total payment of $45,016. That payment is 1% below the U.S. average of $45,498.

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 $45,016Billed $168,326

About 27¢ was paid for every $1 hospitals in Wisconsin billed for this stay.

Wisconsin hospitals: craniotomy and endovascular intracranial procedures with 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
University of Wi Hospitals & Clinics AuthorityMadison 100 $204,858 $57,494 $44,490
Froedtert Mem Lutheran HsptlMilwaukee 76 $189,144 $45,075 $38,421
Aurora St Lukes Medical CenterMilwaukee 46 $209,754 $45,292 $27,676
St Mary's HospitalMadison 43 $119,310 $33,201 $31,473
Aurora Baycare Med CtrGreen Bay 19 $118,420 $32,940 $26,871
Marshfield Medical CenterMarshfield 17 $137,134 $47,339 $44,547
Luther Hospital Mayo Health SystemEau Claire 17 $132,782 $41,996 $40,310
Gundersen Luth Med CtrLa Crosse 16 $75,154 $36,378 $29,977
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee 14 $169,500 $40,397 $34,990
St Vincent HsptlGreen Bay 12 $115,096 $30,370 $29,282
Thedacare Regional Med Ctr - NeenahNeenah 11 $92,202 $32,548 $31,361
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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

St Vincent HsptlGreen Bay, WI$30,370
Thedacare Regional Med Ctr - NeenahNeenah, WI$32,548
Aurora Baycare Med CtrGreen Bay, WI$32,940
St Mary's HospitalMadison, WI$33,201
Gundersen Luth Med CtrLa Crosse, WI$36,378

Highest

Craniotomy and endovascular intracranial procedures with major complications in other states

Questions

How much does craniotomy and endovascular intracranial procedures with major complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for craniotomy and endovascular intracranial procedures with major complications (DRG 025) at 11 hospitals in Wisconsin was billed at $168,326 on average, while the average total payment was $45,016, of which Medicare paid $36,697. 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.