Level 2 ICD and Similar Procedures in Wisconsin
What 37 hospitals in Wisconsin charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$134,645
Hospital list price billed
Average allowed
$30,113
Medicare's payment + patient's share
Medicare paid
$28,479
Average per service
State rank
#26 of 47
1 = lowest average payment
Hospitals in Wisconsin billed an average of $134,645 for level 2 icd and similar procedures, about 4.5 times the average medicare-allowed amount of $30,113. That payment is 3% below the U.S. average of $31,009.
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 $30,113Billed $134,645
About 22¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 icd and similar 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 |
|---|---|---|---|---|
| Aurora St Lukes Medical CenterMilwaukee | 74 | $188,963 | $30,291 | $28,657 |
| Meriter HsptlMadison | 31 | $189,519 | $30,619 | $28,984 |
| Aspirus Wausau HospitalWausau | 28 | $48,501 | $28,361 | $26,728 |
| Luther Hospital Mayo Health SystemEau Claire | 28 | $88,154 | $31,117 | $29,485 |
| Gundersen Luth Med CtrLa Crosse | 25 | $89,873 | $30,901 | $29,269 |
| Froedtert Mem Lutheran HsptlMilwaukee | 23 | $137,015 | $30,864 | $29,232 |
| Bellin Memorial HsptlGreen Bay | 22 | $156,747 | $29,351 | $27,719 |
| St Mary's HospitalMadison | 21 | $115,985 | $29,316 | $27,672 |
| Mercy Hlth Sys CorpJanesville | 17 | $151,438 | $28,220 | $26,588 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 16 | $117,179 | $30,864 | $29,232 |
| St Clare's Hospital of Weston INCWeston | 16 | $82,157 | $29,351 | $27,719 |
| Waukesha Memorial HospitalWaukesha | 15 | $145,301 | $29,882 | $28,250 |
| Marshfield Medical CenterMarshfield | 15 | $91,355 | $31,433 | $29,796 |
| University of Wi Hospitals & Clinics AuthorityMadison | 15 | $128,089 | $30,619 | $28,984 |
| Aurora Medical CenterGrafton | 14 | $151,318 | $29,882 | $28,250 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 12 | $89,322 | $30,901 | $29,269 |
| St Elizabeth HsptlAppleton | 12 | $203,640 | $29,563 | $27,931 |
| Community Mem HsptlMenomonee Falls | 11 | $122,604 | $29,882 | $28,250 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | – | – | – | – |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Froedtert SouthKenosha | – | – | – | – |
| Monroe ClinicMonroe | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Aurora Memorial Hsptl BurlingtonBurlington | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| St Agnes HsptlFond du Lac | – | – | – | – |
| Wheaton Franciscan Healthcare- All SaintsRacine | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Ascension SE Wisconsin HospitalMilwaukee | – | – | – | – |
| Appleton Med CtrAppleton | – | – | – | – |
| Aurora Med Ctr KenoshaKenosha | – | – | – | – |
| Aurora Baycare Med CtrGreen Bay | – | – | – | – |
| Oakleaf Surgical HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr OshkoshOshkosh | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
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
| Mercy Hlth Sys CorpJanesville, WI | $28,220 |
|---|---|
| Aspirus Wausau HospitalWausau, WI | $28,361 |
| St Mary's HospitalMadison, WI | $29,316 |
| Bellin Memorial HsptlGreen Bay, WI | $29,351 |
| St Clare's Hospital of Weston INCWeston, WI | $29,351 |
Highest
| Marshfield Medical CenterMarshfield, WI | $31,433 |
|---|---|
| Luther Hospital Mayo Health SystemEau Claire, WI | $31,117 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse, WI | $30,901 |
| Gundersen Luth Med CtrLa Crosse, WI | $30,901 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $30,864 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Wisconsin?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 37 hospitals in Wisconsin was billed at $134,645 on average, while the average medicare-allowed amount was $30,113, of which Medicare paid $28,479. 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 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 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.