Hip replacement with principal diagnosis of hip fracture without major complications in Wisconsin
What 19 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$73,574
Hospital list price billed
Average payment
$17,169
Medicare + patient + other payers
Medicare paid
$14,860
Average per stay
State rank
#21 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $73,574 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.3 times the average total payment of $17,169. That payment is 6% below the U.S. average of $18,301.
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 $17,169Billed $73,574
About 23¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| St Mary's HospitalMadison | 63 | $67,821 | $15,859 | $14,061 |
| Luther Hospital Mayo Health SystemEau Claire | 37 | $51,808 | $16,297 | $14,634 |
| Gundersen Luth Med CtrLa Crosse | 32 | $55,184 | $17,645 | $15,662 |
| Froedtert Mem Lutheran HsptlMilwaukee | 31 | $127,274 | $21,758 | $17,694 |
| Meriter HsptlMadison | 30 | $79,910 | $16,435 | $14,705 |
| Marshfield Medical CenterMarshfield | 22 | $52,578 | $18,821 | $16,595 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 18 | $52,399 | $17,757 | $15,489 |
| Waukesha Memorial HospitalWaukesha | 16 | $73,672 | $13,604 | $12,063 |
| Aurora Medical CenterGrafton | 14 | $106,506 | $14,283 | $12,884 |
| St Vincent HsptlGreen Bay | 13 | $57,598 | $15,756 | $12,333 |
| Community Mem HsptlMenomonee Falls | 13 | $93,925 | $19,719 | $14,194 |
| Aurora Med Ctr KenoshaKenosha | 13 | $84,163 | $14,952 | $13,320 |
| Froedtert SouthKenosha | 12 | $77,324 | $15,297 | $14,209 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 12 | $69,487 | $17,433 | $15,774 |
| University of Wi Hospitals & Clinics AuthorityMadison | 12 | $92,830 | $22,260 | $17,929 |
| Aurora Lakeland Med CtrElkhorn | 12 | $77,707 | $16,690 | $15,116 |
| Aurora St Lukes Medical CenterMilwaukee | 12 | $103,064 | $17,706 | $15,000 |
| Appleton Med CtrAppleton | 12 | $49,069 | $16,646 | $12,583 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 11 | $50,919 | $17,870 | $16,386 |
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
| Waukesha Memorial HospitalWaukesha, WI | $13,604 |
|---|---|
| Aurora Medical CenterGrafton, WI | $14,283 |
| Aurora Med Ctr KenoshaKenosha, WI | $14,952 |
| Froedtert SouthKenosha, WI | $15,297 |
| St Vincent HsptlGreen Bay, WI | $15,756 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $22,260 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $21,758 |
| Community Mem HsptlMenomonee Falls, WI | $19,719 |
| Marshfield Medical CenterMarshfield, WI | $18,821 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids, WI | $17,870 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 19 hospitals in Wisconsin was billed at $73,574 on average, while the average total payment was $17,169, of which Medicare paid $14,860. 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 4.3 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.