facebook tracking Percutaneous and other intracardiac procedures without major complications cost in Wisconsin: 19 hospitals compared (DRG 274)

Percutaneous and other intracardiac procedures without major complications in Wisconsin

What 19 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures without major complications (DRG 274), from 2024 Medicare claims.

DRG 274 Inpatient 2024 Medicare data
Average charge $107,571 Hospital list price billed
Average payment $25,135 Medicare + patient + other payers
Medicare paid $22,717 Average per stay
State rank #19 of 44 1 = lowest average payment

Hospitals in Wisconsin billed an average of $107,571 for percutaneous and other intracardiac procedures without major complications, about 4.3 times the average total payment of $25,135. That payment is 9% below the U.S. average of $27,497.

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 $25,135Billed $107,571

About 23¢ 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 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
Aspirus Wausau HospitalWausau 152 $66,886 $22,944 $21,884
Aurora St Lukes Medical CenterMilwaukee 140 $182,947 $27,361 $23,510
St Mary's HospitalMadison 83 $100,273 $24,007 $22,404
Bellin Memorial HsptlGreen Bay 73 $48,077 $22,772 $20,869
Waukesha Memorial HospitalWaukesha 68 $107,094 $22,148 $20,715
Mercy Hlth Sys CorpJanesville 53 $125,479 $26,939 $21,198
Froedtert Mem Lutheran HsptlMilwaukee 47 $124,390 $30,409 $26,752
University of Wi Hospitals & Clinics AuthorityMadison 45 $100,562 $31,139 $27,655
St Agnes HsptlFond du Lac 42 $102,630 $24,333 $23,050
Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee 37 $122,056 $25,851 $24,387
St Elizabeth HsptlAppleton 35 $100,012 $23,490 $21,964
Luther Hospital Mayo Health SystemEau Claire 30 $83,025 $24,364 $22,832
Aurora Medical CenterGrafton 30 $162,733 $22,179 $20,764
Marshfield Medical CenterMarshfield 25 $91,483 $29,210 $24,900
Gundersen Luth Med CtrLa Crosse 25 $74,905 $26,196 $24,563
Froedtert SouthKenosha 20 $113,092 $22,979 $21,755
Aurora Baycare Med CtrGreen Bay 19 $130,463 $27,031 $19,969
St Vincent HsptlGreen Bay 18 $61,738 $22,689 $21,148
Appleton Med CtrAppleton 13 $84,877 $23,330 $21,654
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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

Waukesha Memorial HospitalWaukesha, WI$22,148
Aurora Medical CenterGrafton, WI$22,179
St Vincent HsptlGreen Bay, WI$22,689
Bellin Memorial HsptlGreen Bay, WI$22,772
Aspirus Wausau HospitalWausau, WI$22,944

Highest

University of Wi Hospitals & Clinics AuthorityMadison, WI$31,139
Froedtert Mem Lutheran HsptlMilwaukee, WI$30,409
Marshfield Medical CenterMarshfield, WI$29,210
Aurora St Lukes Medical CenterMilwaukee, WI$27,361
Aurora Baycare Med CtrGreen Bay, WI$27,031

Percutaneous and other intracardiac procedures without major complications in other states

Questions

How much does percutaneous and other intracardiac procedures without major complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures without major complications (DRG 274) at 19 hospitals in Wisconsin was billed at $107,571 on average, while the average total payment was $25,135, of which Medicare paid $22,717. 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 4.3 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.