Infectious and parasitic diseases with operating room procedures with major complications in Wisconsin
What 32 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.
Average charge
$144,773
Hospital list price billed
Average payment
$43,242
Medicare + patient + other payers
Medicare paid
$36,463
Average per stay
State rank
#25 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $144,773 for infectious and parasitic diseases with operating room procedures with major complications, about 3.3 times the average total payment of $43,242. That payment is 7% below the U.S. average of $46,667.
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 $43,242Billed $144,773
About 30¢ 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: infectious and parasitic diseases with operating room procedures 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 | 81 | $228,970 | $52,884 | $35,848 |
| University of Wi Hospitals & Clinics AuthorityMadison | 78 | $245,773 | $69,968 | $50,306 |
| St Mary's HospitalMadison | 76 | $156,757 | $41,515 | $38,241 |
| Aspirus Wausau HospitalWausau | 71 | $108,033 | $35,663 | $33,092 |
| Luther Hospital Mayo Health SystemEau Claire | 62 | $118,419 | $45,651 | $42,854 |
| Froedtert Mem Lutheran HsptlMilwaukee | 61 | $146,503 | $50,303 | $38,984 |
| Meriter HsptlMadison | 48 | $164,066 | $45,002 | $36,656 |
| Aurora Med Ctr KenoshaKenosha | 47 | $129,854 | $38,389 | $29,609 |
| Marshfield Medical CenterMarshfield | 42 | $131,150 | $49,894 | $47,110 |
| Aurora Medical CenterGrafton | 36 | $133,095 | $34,758 | $30,123 |
| Aurora Baycare Med CtrGreen Bay | 33 | $129,116 | $36,303 | $31,960 |
| Gundersen Luth Med CtrLa Crosse | 32 | $76,031 | $39,065 | $34,594 |
| Appleton Med CtrAppleton | 32 | $62,750 | $31,573 | $27,376 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 27 | $189,817 | $40,824 | $38,279 |
| Waukesha Memorial HospitalWaukesha | 24 | $122,673 | $30,664 | $26,022 |
| Ascension SE Wisconsin HospitalMilwaukee | 23 | $87,413 | $36,211 | $34,394 |
| Aurora West Allis Medical CenterWest Allis | 23 | $139,434 | $31,841 | $26,871 |
| Aurora Sheboygan Mem Med CtrSheboygan | 22 | $101,188 | $33,510 | $30,234 |
| St Vincent HsptlGreen Bay | 21 | $175,597 | $35,641 | $34,301 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 21 | $127,192 | $40,564 | $32,499 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 19 | $82,755 | $39,195 | $36,340 |
| Beloit Mem HsptlBeloit | 19 | $199,768 | $49,589 | $48,000 |
| Aurora Medical CenterSummit | 19 | $100,744 | $39,298 | $21,084 |
| Froedtert SouthKenosha | 18 | $261,826 | $63,067 | $58,876 |
| Bellin Memorial HsptlGreen Bay | 18 | $73,868 | $31,516 | $30,246 |
| Community Mem HsptlMenomonee Falls | 17 | $108,033 | $31,036 | $29,213 |
| St Clare's Hospital of Weston INCWeston | 17 | $84,461 | $31,858 | $30,562 |
| Thedacare Regional Med Ctr - NeenahNeenah | 16 | $65,128 | $34,989 | $26,886 |
| Monroe ClinicMonroe | 13 | $95,621 | $36,678 | $34,363 |
| St Agnes HsptlFond du Lac | 13 | $95,133 | $37,560 | $36,307 |
| Mercy Hlth Sys CorpJanesville | 12 | $233,412 | $42,194 | $40,278 |
| Aurora Lakeland Med CtrElkhorn | 11 | $86,477 | $37,819 | $36,222 |
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 | $30,664 |
|---|---|
| Community Mem HsptlMenomonee Falls, WI | $31,036 |
| Bellin Memorial HsptlGreen Bay, WI | $31,516 |
| Appleton Med CtrAppleton, WI | $31,573 |
| Aurora West Allis Medical CenterWest Allis, WI | $31,841 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $69,968 |
|---|---|
| Froedtert SouthKenosha, WI | $63,067 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $52,884 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $50,303 |
| Marshfield Medical CenterMarshfield, WI | $49,894 |
Infectious and parasitic diseases with operating room procedures with major complications in other states
Questions
How much does infectious and parasitic diseases with operating room procedures with major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 32 hospitals in Wisconsin was billed at $144,773 on average, while the average total payment was $43,242, of which Medicare paid $36,463. 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 3.3 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.