Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Wisconsin
What 6 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$45,830
Hospital list price billed
Average payment
$10,500
Medicare + patient + other payers
Medicare paid
$7,430
Average per stay
State rank
#24 of 34
1 = lowest average payment
Hospitals in Wisconsin billed an average of $45,830 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 4.4 times the average total payment of $10,500. That payment is 1% above the U.S. average of $10,379.
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 $10,500Billed $45,830
About 23¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Wisconsin:
Wisconsin hospitals: pathological fractures and musculoskeletal and connective tissue malignancy with 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 | 61 | $38,596 | $8,224 | $6,688 |
| University of Wi Hospitals & Clinics AuthorityMadison | 47 | $63,242 | $14,215 | $8,721 |
| Luther Hospital Mayo Health SystemEau Claire | 26 | $33,191 | $8,335 | $6,757 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 20 | $37,673 | $7,652 | $6,265 |
| Froedtert Mem Lutheran HsptlMilwaukee | 18 | $62,391 | $15,170 | $8,594 |
| Monroe ClinicMonroe | 11 | $29,159 | $9,896 | $7,830 |
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
| SSM Health St Mary's Hospital - JanesvilleJanesville, WI | $7,652 |
|---|---|
| St Mary's HospitalMadison, WI | $8,224 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $8,335 |
| Monroe ClinicMonroe, WI | $9,896 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $14,215 |
Highest
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $15,170 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $14,215 |
| Monroe ClinicMonroe, WI | $9,896 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $8,335 |
| St Mary's HospitalMadison, WI | $8,224 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 6 hospitals in Wisconsin was billed at $45,830 on average, while the average total payment was $10,500, of which Medicare paid $7,430. 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 4.4 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.