facebook tracking Level 1 Endovascular Procedures cost in Wisconsin: 40 hospitals compared (APC 5191)

Level 1 Endovascular Procedures in Wisconsin

What 40 hospitals in Wisconsin charged and were paid for level 1 endovascular procedures (APC 5191), from 2024 Medicare claims.

APC 5191 Outpatient 2024 Medicare data
Average charge $23,773 Hospital list price billed
Average allowed $2,997 Medicare's payment + patient's share
Medicare paid $2,142 Average per service
State rank #25 of 48 1 = lowest average payment

Hospitals in Wisconsin billed an average of $23,773 for level 1 endovascular procedures, about 7.9 times the average medicare-allowed amount of $2,997. That payment is 3% below the U.S. average of $3,094.

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 $2,997Billed $23,773

About 13¢ was paid for every $1 hospitals in Wisconsin billed for this service.

Wisconsin hospitals: level 1 endovascular 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
St Mary's HospitalMadison 558 $24,914 $3,035 $2,175
Aurora St Lukes Medical CenterMilwaukee 454 $38,547 $3,027 $2,158
University of Wi Hospitals & Clinics AuthorityMadison 290 $24,948 $3,024 $2,164
Froedtert Mem Lutheran HsptlMilwaukee 229 $23,275 $2,985 $2,116
Aspirus Wausau HospitalWausau 208 $20,947 $2,854 $2,030
Bellin Memorial HsptlGreen Bay 204 $14,259 $2,890 $2,065
Luther Hospital Mayo Health SystemEau Claire 192 $12,706 $3,085 $2,210
Meriter HsptlMadison 192 $26,226 $3,001 $2,141
Waukesha Memorial HospitalWaukesha 153 $23,591 $2,945 $2,106
St Elizabeth HsptlAppleton 138 $22,274 $2,940 $2,109
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse 133 $15,079 $3,075 $2,206
Gundersen Luth Med CtrLa Crosse 123 $18,229 $3,075 $2,206
Aurora Medical CenterGrafton 111 $30,320 $2,973 $2,131
Marshfield Medical Center - Eau ClaireEau Claire 104 $22,060 $2,933 $2,105
St Agnes HsptlFond du Lac 103 $17,833 $3,187 $2,286
St Vincent HsptlGreen Bay 98 $15,520 $2,939 $2,108
Community Mem HsptlMenomonee Falls 98 $16,882 $2,908 $2,067
Mercy Hlth Sys CorpJanesville 95 $30,946 $2,951 $2,112
Beloit Mem HsptlBeloit 92 $27,285 $3,174 $2,278
Appleton Med CtrAppleton 89 $15,670 $2,894 $2,064
Aurora Med Ctr KenoshaKenosha 78 $19,857 $3,013 $2,145
Aurora Baycare Med CtrGreen Bay 78 $24,021 $2,832 $2,001
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee 69 $35,789 $3,071 $2,203
Marshfield Medical CenterMarshfield 58 $22,985 $3,128 $2,245
Aurora Sheboygan Mem Med CtrSheboygan 55 $32,540 $2,933 $2,090
Aurora Med Ctr OshkoshOshkosh 55 $23,712 $2,898 $2,058
St Clare's Hospital of Weston INCWeston 55 $22,750 $2,920 $2,095
Aurora Medical CenterSummit 54 $19,613 $2,976 $2,136
Froedtert SouthKenosha 53 $16,007 $3,069 $2,203
Ascension SE Wisconsin HospitalMilwaukee 43 $21,254 $2,973 $2,134
St Marys Hsptl Med CtrGreen Bay 36 $17,342 $2,935 $2,107
Wheaton Franciscan Healthcare- All SaintsRacine 31 $19,829 $3,071 $2,204
Monroe ClinicMonroe 29 $28,529 $3,047 $2,187
UW Hlth Partners - Watertown Regional Medical CtrWatertown 18 $31,384 $2,973 $2,132
Ministry St Michaels Hospital of Stevens PointStevens Point 13 $12,568 $2,920 $2,096
Sacred Heart HospitalEau Claire – – – –
Thedacare Regional Med Ctr - NeenahNeenah – – – –
Oconomowoc Mem HsptlOconomowoc – – – –
Wheaton Franciscan Healthcare- St FrancisMilwaukee – – – –
Holy Family Memorial INCManitowoc – – – –
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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

Aurora Baycare Med CtrGreen Bay, WI$2,832
Aspirus Wausau HospitalWausau, WI$2,854
Bellin Memorial HsptlGreen Bay, WI$2,890
Appleton Med CtrAppleton, WI$2,894
Aurora Med Ctr OshkoshOshkosh, WI$2,898

Highest

St Agnes HsptlFond du Lac, WI$3,187
Beloit Mem HsptlBeloit, WI$3,174
Marshfield Medical CenterMarshfield, WI$3,128
Luther Hospital Mayo Health SystemEau Claire, WI$3,085
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI$3,075

Level 1 Endovascular Procedures in other states

Questions

How much does level 1 endovascular procedures cost in Wisconsin?

In 2024 Medicare data, level 1 endovascular procedures (APC 5191) at 40 hospitals in Wisconsin was billed at $23,773 on average, while the average medicare-allowed amount was $2,997, of which Medicare paid $2,142. 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 7.9 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.