facebook tracking Permanent cardiac pacemaker implant with complications cost in Wisconsin: 10 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in Wisconsin

What 10 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $73,161 Hospital list price billed
Average payment $19,588 Medicare + patient + other payers
Medicare paid $15,985 Average per stay
State rank #26 of 43 1 = lowest average payment

Hospitals in Wisconsin billed an average of $73,161 for permanent cardiac pacemaker implant with complications, about 3.7 times the average total payment of $19,588. That payment is 4% below the U.S. average of $20,414.

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 $19,588Billed $73,161

About 27¢ was paid for every $1 hospitals in Wisconsin billed for this stay.

Wisconsin hospitals: permanent cardiac pacemaker implant 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 38 $71,917 $17,207 $15,745
Aspirus Wausau HospitalWausau 36 $52,478 $17,046 $14,370
Aurora St Lukes Medical CenterMilwaukee 31 $103,213 $20,476 $16,372
Froedtert Mem Lutheran HsptlMilwaukee 23 $75,224 $23,345 $18,264
University of Wi Hospitals & Clinics AuthorityMadison 20 $102,025 $24,946 $17,862
Gundersen Luth Med CtrLa Crosse 17 $48,433 $19,045 $17,169
Luther Hospital Mayo Health SystemEau Claire 14 $53,986 $19,621 $14,648
Mayo Clinic Health System-Franciscan Medical CenterLa Crosse 13 $50,571 $21,926 $15,665
Waukesha Memorial HospitalWaukesha 13 $73,697 $15,756 $14,520
Meriter HsptlMadison 12 $90,740 $18,671 $14,903
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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$15,756
Aspirus Wausau HospitalWausau, WI$17,046
St Mary's HospitalMadison, WI$17,207
Meriter HsptlMadison, WI$18,671
Gundersen Luth Med CtrLa Crosse, WI$19,045

Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 10 hospitals in Wisconsin was billed at $73,161 on average, while the average total payment was $19,588, of which Medicare paid $15,985. 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 3.7 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.