Implantation of Drug Infusion Device in Wisconsin
What 21 hospitals in Wisconsin charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$43,473
Hospital list price billed
Average allowed
$16,613
Medicare's payment + patient's share
Medicare paid
$14,981
Average per service
State rank
#22 of 32
1 = lowest average payment
Hospitals in Wisconsin billed an average of $43,473 for implantation of drug infusion device, about 2.6 times the average medicare-allowed amount of $16,613. That payment is about the same as the U.S. average of $16,462.
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 $16,613Billed $43,473
About 38¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: implantation of drug infusion device
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 17 | $43,473 | $16,613 | $14,981 |
| Aspirus Wausau HospitalWausau | – | – | – | – |
| Marshfield Medical CenterMarshfield | – | – | – | – |
| St Nicholas HospitalSheboygan | – | – | – | – |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| Bellin Memorial HsptlGreen Bay | – | – | – | – |
| Mercy Hlth Sys CorpJanesville | – | – | – | – |
| Luther Hospital Mayo Health SystemEau Claire | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Gundersen Luth Med CtrLa Crosse | – | – | – | – |
| Community Mem HsptlMenomonee Falls | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Aurora St Lukes Medical CenterMilwaukee | – | – | – | – |
| Aurora West Allis Medical CenterWest Allis | – | – | – | – |
| Appleton Med CtrAppleton | – | – | – | – |
| Froedtert Mem Lutheran HsptlMilwaukee | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Aurora Baycare Med CtrGreen Bay | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in Wisconsin?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 21 hospitals in Wisconsin was billed at $43,473 on average, while the average medicare-allowed amount was $16,613, of which Medicare paid $14,981. 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 service in Wisconsin, average charges were 2.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.