ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Wisconsin
What 3 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$861,598
Hospital list price billed
Average payment
$270,526
Medicare + patient + other payers
Medicare paid
$181,042
Average per stay
State rank
#24 of 29
1 = lowest average payment
Hospitals in Wisconsin billed an average of $861,598 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 3.2 times the average total payment of $270,526. That payment is 10% above the U.S. average of $246,178.
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 $270,526Billed $861,598
About 31¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Wisconsin hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 |
|---|---|---|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee | 33 | $702,656 | $200,802 | $169,467 |
| University of Wi Hospitals & Clinics AuthorityMadison | 29 | $1,047,222 | $372,171 | $200,171 |
| Aurora St Lukes Medical CenterMilwaukee | 11 | $849,051 | $211,726 | $165,333 |
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
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $200,802 |
|---|---|
| Aurora St Lukes Medical CenterMilwaukee, WI | $211,726 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $372,171 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $372,171 |
|---|---|
| Aurora St Lukes Medical CenterMilwaukee, WI | $211,726 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $200,802 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Wisconsin?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 3 hospitals in Wisconsin was billed at $861,598 on average, while the average total payment was $270,526, of which Medicare paid $181,042. 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 3.2 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.