Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Wisconsin
What 58 hospitals in Wisconsin charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$18,933
Hospital list price billed
Average allowed
$3,150
Medicare's payment + patient's share
Medicare paid
$2,501
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $18,933 for level 1 abdominal/peritoneal/biliary and related procedures, about 6.0 times the average medicare-allowed amount of $3,150. That payment is 5% below the U.S. average of $3,323.
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 $3,150Billed $18,933
About 17¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 | 115 | $16,588 | $3,230 | $2,567 |
| Luther Hospital Mayo Health SystemEau Claire | 87 | $12,414 | $3,282 | $2,614 |
| Froedtert Mem Lutheran HsptlMilwaukee | 79 | $24,235 | $2,860 | $2,262 |
| Meriter HsptlMadison | 76 | $21,589 | $3,230 | $2,570 |
| St Mary's HospitalMadison | 62 | $11,674 | $3,230 | $2,572 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 59 | $23,511 | $3,256 | $2,590 |
| Gundersen Luth Med CtrLa Crosse | 55 | $22,842 | $3,129 | $2,471 |
| Bellin Memorial HsptlGreen Bay | 42 | $16,917 | $3,096 | $2,466 |
| Aurora St Lukes Medical CenterMilwaukee | 41 | $24,131 | $3,221 | $2,557 |
| Appleton Med CtrAppleton | 37 | $12,012 | $3,118 | $2,477 |
| Community Mem HsptlMenomonee Falls | 34 | $17,185 | $3,152 | $2,511 |
| St Vincent HsptlGreen Bay | 32 | $12,335 | $3,018 | $2,404 |
| Waukesha Memorial HospitalWaukesha | 30 | $42,907 | $2,984 | $2,344 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 28 | $16,275 | $3,167 | $2,504 |
| Aspirus Wausau HospitalWausau | 28 | $18,436 | $2,919 | $2,296 |
| Aurora Med Ctr KenoshaKenosha | 28 | $23,199 | $3,254 | $2,581 |
| Oakleaf Surgical HospitalEau Claire | 26 | $19,485 | $3,110 | $2,476 |
| Aurora Medical CenterSummit | 26 | $15,108 | $3,058 | $2,417 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 25 | $8,961 | $3,254 | $2,599 |
| Ascension SE Wisconsin HospitalMilwaukee | 24 | $23,360 | $3,086 | $2,459 |
| St Josephs Com Hsptl West BendWest Bend | 23 | $25,333 | $3,043 | $2,402 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 22 | $17,150 | $3,096 | $2,466 |
| Marshfield Medical CenterMarshfield | 22 | $15,890 | $3,315 | $2,642 |
| Aspirus Rhinelander HospitalRhinelander | 21 | $15,467 | $3,316 | $2,633 |
| Aurora Sheboygan Mem Med CtrSheboygan | 20 | $14,185 | $3,026 | $2,386 |
| Marshfield Medical Center - Eau ClaireEau Claire | 20 | $15,538 | $3,110 | $2,477 |
| St Nicholas HospitalSheboygan | 19 | $20,811 | $3,149 | $2,504 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 19 | $15,584 | $3,255 | $2,594 |
| Aurora West Allis Medical CenterWest Allis | 19 | $29,041 | $3,013 | $2,370 |
| Froedtert SouthKenosha | 18 | $27,909 | $3,254 | $2,592 |
| Aurora Medical CenterGrafton | 18 | $24,280 | $3,152 | $2,501 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 17 | $15,051 | $2,951 | $2,321 |
| St Agnes HsptlFond du Lac | 17 | $13,905 | $3,378 | $2,692 |
| Aurora Memorial Hsptl BurlingtonBurlington | 15 | $11,870 | $3,254 | $2,592 |
| Aurora Lakeland Med CtrElkhorn | 15 | $24,996 | $3,254 | $2,592 |
| Mercy Hlth Sys CorpJanesville | 14 | $24,905 | $2,973 | $2,320 |
| St Elizabeth HsptlAppleton | 13 | $15,015 | $3,114 | $2,473 |
| Monroe ClinicMonroe | 13 | $24,167 | $3,230 | $2,559 |
| Bay Area Med CtrMarinette | 13 | $20,646 | $3,331 | $2,654 |
| Marshfield Medical Center - MinocquaMinocqua | 13 | $15,924 | $3,096 | $2,466 |
| Fort HealthcareFort Atkinson | 12 | $20,097 | $3,152 | $2,511 |
| Sauk Prairie Mem HsptlPrairie du Sac | 12 | $15,182 | $3,154 | $2,513 |
| Aurora Baycare Med CtrGreen Bay | 12 | $23,607 | $3,115 | $2,482 |
| St Clare's Hospital of Weston INCWeston | 12 | $15,956 | $3,096 | $2,466 |
| Thedacare Regional Med Ctr - NeenahNeenah | 11 | $12,005 | $2,880 | $2,236 |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| Aurora Med Center-Washington CountyHartford | – | – | – | – |
| Divine Savior HlthcarePortage | – | – | – | – |
| St Clare Hsptl Hlth SvcsBaraboo | – | – | – | – |
| Beaver Dam Com HsptlBeaver Dam | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Mile Bluff Medical Center, INCMauston | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $2,860 |
|---|---|
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $2,880 |
| Aspirus Wausau HospitalWausau, WI | $2,919 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $2,951 |
| Mercy Hlth Sys CorpJanesville, WI | $2,973 |
Highest
| St Agnes HsptlFond du Lac, WI | $3,378 |
|---|---|
| Bay Area Med CtrMarinette, WI | $3,331 |
| Aspirus Rhinelander HospitalRhinelander, WI | $3,316 |
| Marshfield Medical CenterMarshfield, WI | $3,315 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $3,282 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Wisconsin?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 58 hospitals in Wisconsin was billed at $18,933 on average, while the average medicare-allowed amount was $3,150, of which Medicare paid $2,501. 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 6.0 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.