Heart failure and shock with major complications in Wisconsin
What 58 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$39,597
Hospital list price billed
Average payment
$10,871
Medicare + patient + other payers
Medicare paid
$8,799
Average per stay
State rank
#21 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $39,597 for heart failure and shock with major complications, about 3.6 times the average total payment of $10,871. That payment is 10% below the U.S. average of $12,050.
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 $10,871Billed $39,597
About 27¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Wisconsin:
Wisconsin hospitals: heart failure and shock 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 |
|---|---|---|---|---|
| Aurora St Lukes Medical CenterMilwaukee | 474 | $58,133 | $12,327 | $9,383 |
| Luther Hospital Mayo Health SystemEau Claire | 267 | $38,794 | $10,822 | $8,979 |
| St Mary's HospitalMadison | 265 | $42,076 | $9,864 | $8,419 |
| University of Wi Hospitals & Clinics AuthorityMadison | 203 | $58,495 | $16,783 | $10,839 |
| Froedtert Mem Lutheran HsptlMilwaukee | 201 | $44,346 | $14,413 | $10,147 |
| Meriter HsptlMadison | 179 | $47,059 | $10,542 | $8,893 |
| Waukesha Memorial HospitalWaukesha | 164 | $37,546 | $8,665 | $7,274 |
| Aspirus Wausau HospitalWausau | 149 | $40,621 | $10,187 | $7,608 |
| Gundersen Luth Med CtrLa Crosse | 135 | $24,207 | $11,219 | $9,713 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 123 | $30,788 | $11,964 | $9,825 |
| Community Mem HsptlMenomonee Falls | 123 | $35,294 | $9,779 | $7,914 |
| Ascension SE Wisconsin HospitalMilwaukee | 113 | $30,104 | $12,115 | $9,064 |
| Aurora Sheboygan Mem Med CtrSheboygan | 106 | $34,439 | $10,225 | $7,352 |
| Aurora Med Ctr KenoshaKenosha | 101 | $41,141 | $9,179 | $8,270 |
| Aurora West Allis Medical CenterWest Allis | 93 | $40,890 | $9,147 | $7,683 |
| Aurora Medical CenterGrafton | 92 | $45,459 | $8,710 | $7,380 |
| St Josephs Com Hsptl West BendWest Bend | 90 | $38,519 | $9,762 | $6,688 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 84 | $44,422 | $11,555 | $10,200 |
| St Elizabeth HsptlAppleton | 81 | $20,282 | $9,574 | $8,151 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 78 | $40,942 | $8,879 | $7,791 |
| Mercy Hlth Sys CorpJanesville | 77 | $48,496 | $10,359 | $8,534 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 77 | $30,361 | $10,983 | $8,746 |
| Beloit Mem HsptlBeloit | 77 | $55,266 | $12,600 | $11,362 |
| Froedtert SouthKenosha | 76 | $32,913 | $9,625 | $8,552 |
| Bay Area Med CtrMarinette | 72 | $34,121 | $10,100 | $9,148 |
| Aurora Lakeland Med CtrElkhorn | 70 | $34,356 | $10,108 | $8,995 |
| Aurora Memorial Hsptl BurlingtonBurlington | 69 | $40,194 | $9,158 | $7,712 |
| Aurora Medical CenterSummit | 67 | $34,619 | $8,827 | $7,719 |
| Appleton Med CtrAppleton | 61 | $26,609 | $10,248 | $8,509 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 60 | $28,104 | $9,967 | $8,422 |
| Marshfield Medical CenterMarshfield | 60 | $41,360 | $12,674 | $10,792 |
| Aurora Baycare Med CtrGreen Bay | 60 | $43,694 | $9,349 | $7,856 |
| Aurora Med Ctr OshkoshOshkosh | 58 | $37,633 | $8,680 | $7,542 |
| St Agnes HsptlFond du Lac | 57 | $33,216 | $9,944 | $8,756 |
| Oconomowoc Mem HsptlOconomowoc | 56 | $39,913 | $9,061 | $7,281 |
| Monroe ClinicMonroe | 51 | $32,361 | $11,159 | $9,491 |
| Bellin Memorial HsptlGreen Bay | 51 | $26,061 | $9,151 | $8,159 |
| St Clare Hsptl Hlth SvcsBaraboo | 49 | $29,937 | $11,064 | $9,506 |
| Marshfield Medical Center - Rice LakeRice Lake | 43 | $21,414 | $10,937 | $9,903 |
| Marshfield Medical Center - MinocquaMinocqua | 41 | $19,085 | $8,212 | $6,978 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | 40 | $28,230 | $11,349 | $10,248 |
| Aspirus Rhinelander HospitalRhinelander | 38 | $38,191 | $12,619 | $9,730 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 38 | $31,099 | $10,962 | $9,846 |
| Divine Savior HlthcarePortage | 38 | $26,365 | $10,987 | $9,688 |
| St Clare's Hospital of Weston INCWeston | 38 | $23,794 | $8,212 | $7,397 |
| Holy Family Memorial INCManitowoc | 37 | $30,532 | $9,047 | $8,077 |
| St Vincent HsptlGreen Bay | 34 | $37,694 | $9,500 | $8,052 |
| St Marys Hsptl Med CtrGreen Bay | 30 | $37,036 | $10,115 | $6,597 |
| Marshfield Medical Center - Eau ClaireEau Claire | 28 | $42,259 | $10,527 | $9,361 |
| Thedacare Regional Med Ctr - NeenahNeenah | 27 | $23,113 | $9,631 | $8,237 |
| Howard Young Med CtrWoodruff | 26 | $26,100 | $11,897 | $9,924 |
| Aurora Med Center-Washington CountyHartford | 23 | $27,142 | $10,667 | $9,816 |
| Fort HealthcareFort Atkinson | 20 | $29,549 | $9,999 | $8,695 |
| Beaver Dam Com HsptlBeaver Dam | 20 | $22,612 | $10,647 | $9,506 |
| Sauk Prairie Mem HsptlPrairie du Sac | 16 | $34,441 | $9,808 | $8,380 |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | 15 | $28,615 | $12,242 | $9,937 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 15 | $29,824 | $10,573 | $9,487 |
| St Nicholas HospitalSheboygan | 14 | $36,448 | $9,802 | $7,128 |
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 Clare's Hospital of Weston INCWeston, WI | $8,212 |
|---|---|
| Marshfield Medical Center - MinocquaMinocqua, WI | $8,212 |
| Waukesha Memorial HospitalWaukesha, WI | $8,665 |
| Aurora Med Ctr OshkoshOshkosh, WI | $8,680 |
| Aurora Medical CenterGrafton, WI | $8,710 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $16,783 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $14,413 |
| Marshfield Medical CenterMarshfield, WI | $12,674 |
| Aspirus Rhinelander HospitalRhinelander, WI | $12,619 |
| Beloit Mem HsptlBeloit, WI | $12,600 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 58 hospitals in Wisconsin was billed at $39,597 on average, while the average total payment was $10,871, of which Medicare paid $8,799. 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 3.6 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.