facebook tracking Laparoscopic cholecystectomy without c.d.e. with major complications cost in Wisconsin: 3 hospitals compared (DRG 417)

Laparoscopic cholecystectomy without c.d.e. with major complications in Wisconsin

What 3 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417), from 2024 Medicare claims.

DRG 417 Inpatient 2024 Medicare data
Average charge $83,213 Hospital list price billed
Average payment $20,586 Medicare + patient + other payers
Medicare paid $18,318 Average per stay
State rank #19 of 33 1 = lowest average payment

Hospitals in Wisconsin billed an average of $83,213 for laparoscopic cholecystectomy without c.d.e. with major complications, about 4.0 times the average total payment of $20,586. That payment is 3% below the U.S. average of $21,203.

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 $20,586Billed $83,213

About 25¢ was paid for every $1 hospitals in Wisconsin billed for this stay.

Wisconsin hospitals: laparoscopic cholecystectomy without c.d.e. 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
St Mary's HospitalMadison 16 $96,344 $20,228 $18,278
Gundersen Luth Med CtrLa Crosse 15 $54,212 $19,617 $17,528
Froedtert Mem Lutheran HsptlMilwaukee 11 $103,661 $22,427 $19,452
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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

Gundersen Luth Med CtrLa Crosse, WI$19,617
St Mary's HospitalMadison, WI$20,228
Froedtert Mem Lutheran HsptlMilwaukee, WI$22,427

Highest

Froedtert Mem Lutheran HsptlMilwaukee, WI$22,427
St Mary's HospitalMadison, WI$20,228
Gundersen Luth Med CtrLa Crosse, WI$19,617

Laparoscopic cholecystectomy without c.d.e. with major complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with major complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with major complications (DRG 417) at 3 hospitals in Wisconsin was billed at $83,213 on average, while the average total payment was $20,586, of which Medicare paid $18,318. 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 4.0 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.