Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications in Wisconsin
What 36 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications (DRG 392), from 2024 Medicare claims.
Average charge
$29,240
Hospital list price billed
Average payment
$6,942
Medicare + patient + other payers
Medicare paid
$4,961
Average per stay
State rank
#18 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $29,240 for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications, about 4.2 times the average total payment of $6,942. That payment is 11% below the U.S. average of $7,791.
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 $6,942Billed $29,240
About 24¢ 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: esophagitis, gastroenteritis and miscellaneous digestive disorders 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 |
|---|---|---|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee | 90 | $31,160 | $8,786 | $6,126 |
| St Mary's HospitalMadison | 73 | $32,282 | $6,202 | $4,705 |
| Meriter HsptlMadison | 71 | $31,081 | $6,523 | $4,936 |
| Aurora St Lukes Medical CenterMilwaukee | 67 | $38,016 | $7,957 | $5,110 |
| University of Wi Hospitals & Clinics AuthorityMadison | 60 | $37,375 | $10,316 | $5,869 |
| Waukesha Memorial HospitalWaukesha | 56 | $32,469 | $5,560 | $4,251 |
| Luther Hospital Mayo Health SystemEau Claire | 55 | $24,402 | $6,424 | $4,978 |
| Froedtert SouthKenosha | 49 | $33,725 | $6,808 | $4,869 |
| Aurora West Allis Medical CenterWest Allis | 39 | $32,607 | $6,596 | $4,570 |
| Marshfield Medical CenterMarshfield | 33 | $25,416 | $7,123 | $5,432 |
| Ascension SE Wisconsin HospitalMilwaukee | 32 | $23,723 | $7,604 | $5,440 |
| Aurora Med Ctr KenoshaKenosha | 31 | $32,488 | $6,275 | $4,275 |
| Aurora Medical CenterGrafton | 31 | $30,037 | $5,452 | $4,136 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 28 | $20,819 | $7,203 | $5,312 |
| Gundersen Luth Med CtrLa Crosse | 28 | $14,158 | $7,191 | $5,422 |
| Community Mem HsptlMenomonee Falls | 28 | $22,414 | $6,110 | $4,382 |
| Mercy Hlth Sys CorpJanesville | 26 | $39,180 | $6,406 | $4,922 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 23 | $34,642 | $7,437 | $5,634 |
| Oconomowoc Mem HsptlOconomowoc | 20 | $27,955 | $5,294 | $3,906 |
| Aspirus Wausau HospitalWausau | 19 | $24,227 | $5,946 | $4,408 |
| Monroe ClinicMonroe | 18 | $30,004 | $7,408 | $5,266 |
| Aurora Sheboygan Mem Med CtrSheboygan | 17 | $24,983 | $5,989 | $4,645 |
| Thedacare Regional Med Ctr - NeenahNeenah | 17 | $14,742 | $6,989 | $4,283 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 17 | $21,616 | $7,608 | $4,902 |
| Aurora Med Ctr OshkoshOshkosh | 16 | $24,981 | $5,801 | $4,271 |
| St Josephs Com Hsptl West BendWest Bend | 15 | $24,553 | $5,838 | $3,555 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 14 | $22,490 | $6,596 | $5,664 |
| Appleton Med CtrAppleton | 14 | $20,227 | $6,556 | $5,246 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 14 | $39,119 | $5,792 | $4,160 |
| Aurora Memorial Hsptl BurlingtonBurlington | 13 | $32,011 | $5,961 | $4,957 |
| St Elizabeth HsptlAppleton | 12 | $14,168 | $6,452 | $5,152 |
| St Agnes HsptlFond du Lac | 12 | $22,980 | $6,042 | $4,682 |
| Aspirus Rhinelander HospitalRhinelander | 11 | $22,290 | $6,831 | $5,473 |
| Aurora Baycare Med CtrGreen Bay | 11 | $36,808 | $5,969 | $4,989 |
| Aurora Medical CenterSummit | 11 | $23,777 | $5,530 | $4,046 |
| Froedtert Community HospitalNew Berlin | 11 | $13,460 | $6,023 | $3,475 |
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
| Oconomowoc Mem HsptlOconomowoc, WI | $5,294 |
|---|---|
| Aurora Medical CenterGrafton, WI | $5,452 |
| Aurora Medical CenterSummit, WI | $5,530 |
| Waukesha Memorial HospitalWaukesha, WI | $5,560 |
| SSM Health St Mary's Hospital - JanesvilleJanesville, WI | $5,792 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $10,316 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $8,786 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $7,957 |
| Wheaton Franciscan Healthcare- All SaintsRacine, WI | $7,608 |
| Ascension SE Wisconsin HospitalMilwaukee, WI | $7,604 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications in other states
Questions
How much does esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications (DRG 392) at 36 hospitals in Wisconsin was billed at $29,240 on average, while the average total payment was $6,942, of which Medicare paid $4,961. 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 4.2 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.