Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m in Wisconsin
What 1 hospital in Wisconsin charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544), from 2024 Medicare claims.
Average charge
$28,717
Hospital list price billed
Average payment
$5,934
Medicare + patient + other payers
Medicare paid
$4,519
Average per stay
Volume
18
Medicare hospital stays
Hospitals in Wisconsin billed an average of $28,717 for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m, about 4.8 times the average total payment of $5,934. That payment is 10% below the U.S. average of $6,558.
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 $5,934Billed $28,717
About 21¢ 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 without complications/m
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 | 18 | $28,717 | $5,934 | $4,519 |
Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy without complications/m cost in Wisconsin?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544) at 1 hospital in Wisconsin was billed at $28,717 on average, while the average total payment was $5,934, of which Medicare paid $4,519. 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 4.8 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.