Medical back problems without major complications in Wisconsin
What 18 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.
Average charge
$35,942
Hospital list price billed
Average payment
$8,798
Medicare + patient + other payers
Medicare paid
$6,201
Average per stay
State rank
#25 of 47
1 = lowest average payment
Hospitals in Wisconsin billed an average of $35,942 for medical back problems without major complications, about 4.1 times the average total payment of $8,798. That payment is 6% below the U.S. average of $9,373.
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 $8,798Billed $35,942
About 24¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Wisconsin:
Wisconsin hospitals: medical back problems without 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 |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 58 | $42,880 | $12,463 | $7,928 |
| Froedtert Mem Lutheran HsptlMilwaukee | 50 | $40,140 | $11,205 | $7,070 |
| St Mary's HospitalMadison | 46 | $41,082 | $7,351 | $5,791 |
| Aurora St Lukes Medical CenterMilwaukee | 30 | $42,746 | $8,937 | $6,733 |
| Waukesha Memorial HospitalWaukesha | 28 | $27,280 | $6,877 | $5,241 |
| Meriter HsptlMadison | 28 | $29,596 | $7,709 | $5,822 |
| Aurora Medical CenterSummit | 28 | $24,321 | $7,158 | $4,823 |
| Aurora Medical CenterGrafton | 28 | $33,009 | $7,504 | $5,093 |
| Froedtert SouthKenosha | 26 | $29,670 | $7,191 | $6,500 |
| Luther Hospital Mayo Health SystemEau Claire | 26 | $28,847 | $7,872 | $5,930 |
| Mercy Hlth Sys CorpJanesville | 24 | $44,915 | $8,619 | $5,630 |
| Aspirus Wausau HospitalWausau | 21 | $48,690 | $11,813 | $4,712 |
| Aurora West Allis Medical CenterWest Allis | 20 | $35,517 | $6,953 | $5,767 |
| Marshfield Medical CenterMarshfield | 18 | $19,164 | $8,617 | $6,980 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 17 | $37,618 | $8,769 | $6,910 |
| Community Mem HsptlMenomonee Falls | 13 | $34,041 | $7,294 | $5,509 |
| Aurora Lakeland Med CtrElkhorn | 12 | $34,251 | $7,525 | $6,796 |
| Aurora Med Ctr KenoshaKenosha | 11 | $32,869 | $6,796 | $5,758 |
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
| Aurora Med Ctr KenoshaKenosha, WI | $6,796 |
|---|---|
| Waukesha Memorial HospitalWaukesha, WI | $6,877 |
| Aurora West Allis Medical CenterWest Allis, WI | $6,953 |
| Aurora Medical CenterSummit, WI | $7,158 |
| Froedtert SouthKenosha, WI | $7,191 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $12,463 |
|---|---|
| Aspirus Wausau HospitalWausau, WI | $11,813 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $11,205 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $8,937 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $8,769 |
Medical back problems without major complications in other states
Questions
How much does medical back problems without major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 18 hospitals in Wisconsin was billed at $35,942 on average, while the average total payment was $8,798, of which Medicare paid $6,201. 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 4.1 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.