facebook tracking Percutaneous and other intracardiac procedures with major complications cost in Wisconsin: 1 hospitals compared (DRG 273)

Percutaneous and other intracardiac procedures with major complications in Wisconsin

What 1 hospital in Wisconsin charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273), from 2024 Medicare claims.

DRG 273 Inpatient 2024 Medicare data
Average charge $84,389 Hospital list price billed
Average payment $27,662 Medicare + patient + other payers
Medicare paid $26,797 Average per stay
Volume 14 Medicare hospital stays

Hospitals in Wisconsin billed an average of $84,389 for percutaneous and other intracardiac procedures with major complications, about 3.1 times the average total payment of $27,662. That payment is 28% below the U.S. average of $38,504.

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 $27,662Billed $84,389

About 33¢ 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: percutaneous and other intracardiac procedures with 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
Aspirus Wausau HospitalWausau 14 $84,389 $27,662 $26,797
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Percutaneous and other intracardiac procedures with major complications in other states

Questions

How much does percutaneous and other intracardiac procedures with major complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273) at 1 hospital in Wisconsin was billed at $84,389 on average, while the average total payment was $27,662, of which Medicare paid $26,797. 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 3.1 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.