Hip and femur procedures except major joint with complications in Wisconsin
What 33 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$72,664
Hospital list price billed
Average payment
$17,163
Medicare + patient + other payers
Medicare paid
$14,607
Average per stay
State rank
#22 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $72,664 for hip and femur procedures except major joint with complications, about 4.2 times the average total payment of $17,163. That payment is 7% below the U.S. average of $18,473.
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 $17,163Billed $72,664
About 24¢ 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: hip and femur procedures except major joint with 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 | 93 | $66,931 | $15,710 | $14,047 |
| Luther Hospital Mayo Health SystemEau Claire | 81 | $53,723 | $15,530 | $13,875 |
| Gundersen Luth Med CtrLa Crosse | 67 | $53,434 | $17,961 | $15,410 |
| University of Wi Hospitals & Clinics AuthorityMadison | 62 | $117,002 | $24,452 | $17,368 |
| Froedtert Mem Lutheran HsptlMilwaukee | 54 | $128,685 | $21,826 | $17,873 |
| Marshfield Medical CenterMarshfield | 43 | $71,463 | $19,808 | $17,642 |
| Thedacare Regional Med Ctr - NeenahNeenah | 39 | $55,997 | $15,912 | $13,419 |
| Waukesha Memorial HospitalWaukesha | 31 | $81,202 | $14,868 | $11,961 |
| St Vincent HsptlGreen Bay | 31 | $52,477 | $14,494 | $13,073 |
| Aurora St Lukes Medical CenterMilwaukee | 30 | $94,869 | $17,095 | $14,548 |
| Aspirus Rhinelander HospitalRhinelander | 29 | $49,140 | $18,220 | $15,711 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 28 | $50,518 | $16,583 | $13,943 |
| Aurora Medical CenterSummit | 25 | $68,561 | $15,287 | $11,994 |
| Meriter HsptlMadison | 24 | $73,589 | $16,384 | $14,736 |
| Froedtert SouthKenosha | 22 | $65,912 | $14,964 | $13,851 |
| Aspirus Wausau HospitalWausau | 21 | $58,160 | $16,153 | $12,405 |
| Ascension SE Wisconsin HospitalMilwaukee | 21 | $60,931 | $16,886 | $14,950 |
| Aurora Medical CenterGrafton | 21 | $81,888 | $16,133 | $12,065 |
| Aurora Med Ctr KenoshaKenosha | 19 | $85,178 | $16,630 | $12,416 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 18 | $80,269 | $17,197 | $15,042 |
| Community Mem HsptlMenomonee Falls | 17 | $75,110 | $15,219 | $13,461 |
| Bellin Memorial HsptlGreen Bay | 16 | $48,957 | $14,658 | $13,026 |
| Oconomowoc Mem HsptlOconomowoc | 16 | $83,664 | $13,216 | $11,890 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 16 | $61,947 | $16,185 | $14,684 |
| Aurora Lakeland Med CtrElkhorn | 16 | $66,360 | $16,363 | $14,754 |
| Mercy Hlth Sys CorpJanesville | 15 | $82,589 | $15,753 | $14,160 |
| Aurora West Allis Medical CenterWest Allis | 15 | $89,471 | $14,954 | $13,202 |
| Fort HealthcareFort Atkinson | 14 | $44,130 | $16,452 | $14,820 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 13 | $44,450 | $15,148 | $13,767 |
| Beloit Mem HsptlBeloit | 13 | $129,229 | $21,724 | $20,468 |
| Aurora Baycare Med CtrGreen Bay | 12 | $65,514 | $14,786 | $13,421 |
| St Agnes HsptlFond du Lac | 11 | $45,865 | $15,812 | $14,477 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 11 | $66,907 | $16,993 | $15,361 |
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 | $13,216 |
|---|---|
| St Vincent HsptlGreen Bay, WI | $14,494 |
| Bellin Memorial HsptlGreen Bay, WI | $14,658 |
| Aurora Baycare Med CtrGreen Bay, WI | $14,786 |
| Waukesha Memorial HospitalWaukesha, WI | $14,868 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $24,452 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $21,826 |
| Beloit Mem HsptlBeloit, WI | $21,724 |
| Marshfield Medical CenterMarshfield, WI | $19,808 |
| Aspirus Rhinelander HospitalRhinelander, WI | $18,220 |
Hip and femur procedures except major joint with complications in other states
Questions
How much does hip and femur procedures except major joint with complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 33 hospitals in Wisconsin was billed at $72,664 on average, while the average total payment was $17,163, of which Medicare paid $14,607. 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.