facebook tracking Kidney transplant cost in Wisconsin: 2 hospitals compared (DRG 652)

Kidney transplant in Wisconsin

What 2 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for kidney transplant (DRG 652), from 2024 Medicare claims.

DRG 652 Inpatient 2024 Medicare data
Average charge $314,229 Hospital list price billed
Average payment $70,204 Medicare + patient + other payers
Medicare paid $18,390 Average per stay
Volume 143 Medicare hospital stays

Hospitals in Wisconsin billed an average of $314,229 for kidney transplant, about 4.5 times the average total payment of $70,204. That payment is 54% above the U.S. average of $45,511.

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 $70,204Billed $314,229

About 22¢ was paid for every $1 hospitals in Wisconsin billed for this stay.

Wisconsin hospitals: kidney transplant

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
University of Wi Hospitals & Clinics AuthorityMadison 82 $280,753 $67,840 $17,404
Froedtert Mem Lutheran HsptlMilwaukee 61 $359,229 $73,381 $19,715
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Kidney transplant in other states

Questions

How much does kidney transplant cost in Wisconsin?

In 2024 Medicare data, a hospital stay for kidney transplant (DRG 652) at 2 hospitals in Wisconsin was billed at $314,229 on average, while the average total payment was $70,204, of which Medicare paid $18,390. 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 4.5 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.