Psychoses in Wisconsin
What 14 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for psychoses (DRG 885), from 2024 Medicare claims.
Average charge
$26,571
Hospital list price billed
Average payment
$12,633
Medicare + patient + other payers
Medicare paid
$9,865
Average per stay
State rank
#17 of 41
1 = lowest average payment
Hospitals in Wisconsin billed an average of $26,571 for psychoses, about 2.1 times the average total payment of $12,633. That payment is 12% below the U.S. average of $14,304.
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 $12,633Billed $26,571
About 48¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Wisconsin hospitals: psychoses
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 |
|---|---|---|---|---|
| Luther Hospital Mayo Health SystemEau Claire | 169 | $22,379 | $11,197 | $9,265 |
| Gundersen Luth Med CtrLa Crosse | 125 | $28,502 | $13,007 | $10,532 |
| St Elizabeth HsptlAppleton | 57 | $13,054 | $10,586 | $8,761 |
| University of Wi Hospitals & Clinics AuthorityMadison | 56 | $54,698 | $24,659 | $12,845 |
| Aurora Sheboygan Mem Med CtrSheboygan | 52 | $36,208 | $11,936 | $9,129 |
| Aspirus Rhinelander HospitalRhinelander | 48 | $22,577 | $12,230 | $10,754 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 44 | $33,542 | $11,757 | $10,222 |
| St Agnes HsptlFond du Lac | 42 | $18,907 | $10,301 | $8,933 |
| Mercy Hlth Sys CorpJanesville | 39 | $28,246 | $10,943 | $9,047 |
| Thedacare Regional Med Ctr - NeenahNeenah | 36 | $16,676 | $9,858 | $7,900 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 33 | $15,994 | $11,425 | $9,728 |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | 31 | $18,760 | $13,083 | $11,040 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 25 | $17,319 | $11,000 | $9,228 |
| Froedtert Mem Lutheran HsptlMilwaukee | 20 | $50,640 | $15,819 | $10,860 |
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
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $9,858 |
|---|---|
| St Agnes HsptlFond du Lac, WI | $10,301 |
| St Elizabeth HsptlAppleton, WI | $10,586 |
| Mercy Hlth Sys CorpJanesville, WI | $10,943 |
| Ministry St Michaels Hospital of Stevens PointStevens Point, WI | $11,000 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $24,659 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $15,819 |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee, WI | $13,083 |
| Gundersen Luth Med CtrLa Crosse, WI | $13,007 |
| Aspirus Rhinelander HospitalRhinelander, WI | $12,230 |
Psychoses in other states
Questions
How much does psychoses cost in Wisconsin?
In 2024 Medicare data, a hospital stay for psychoses (DRG 885) at 14 hospitals in Wisconsin was billed at $26,571 on average, while the average total payment was $12,633, of which Medicare paid $9,865. 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 2.1 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.