Pulmonary edema and respiratory failure in Wisconsin
What 45 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$41,098
Hospital list price billed
Average payment
$10,878
Medicare + patient + other payers
Medicare paid
$8,412
Average per stay
State rank
#19 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $41,098 for pulmonary edema and respiratory failure, about 3.8 times the average total payment of $10,878. That payment is 11% below the U.S. average of $12,197.
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 $10,878Billed $41,098
About 26¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Wisconsin hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Aurora St Lukes Medical CenterMilwaukee | 88 | $63,095 | $13,010 | $8,758 |
| Froedtert Mem Lutheran HsptlMilwaukee | 88 | $47,241 | $14,841 | $9,927 |
| University of Wi Hospitals & Clinics AuthorityMadison | 85 | $55,416 | $15,339 | $10,095 |
| Meriter HsptlMadison | 76 | $65,873 | $10,303 | $8,750 |
| Gundersen Luth Med CtrLa Crosse | 68 | $22,113 | $10,716 | $8,970 |
| Aspirus Wausau HospitalWausau | 65 | $40,051 | $10,879 | $7,063 |
| Bellin Memorial HsptlGreen Bay | 62 | $30,691 | $9,296 | $7,870 |
| Mercy Hlth Sys CorpJanesville | 60 | $50,313 | $10,360 | $7,787 |
| Aurora Med Ctr KenoshaKenosha | 47 | $41,049 | $9,930 | $7,640 |
| Froedtert SouthKenosha | 46 | $45,153 | $10,029 | $8,493 |
| Aurora Sheboygan Mem Med CtrSheboygan | 45 | $33,760 | $9,393 | $7,616 |
| St Mary's HospitalMadison | 42 | $38,434 | $9,854 | $8,065 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 41 | $54,012 | $11,111 | $9,296 |
| Ascension SE Wisconsin HospitalMilwaukee | 41 | $36,047 | $10,736 | $9,061 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 39 | $30,054 | $10,201 | $8,772 |
| Aurora West Allis Medical CenterWest Allis | 39 | $43,078 | $8,664 | $7,506 |
| Fort HealthcareFort Atkinson | 38 | $40,475 | $10,033 | $7,974 |
| Aurora Medical CenterSummit | 37 | $33,969 | $8,745 | $6,915 |
| Marshfield Medical CenterMarshfield | 34 | $29,160 | $11,154 | $9,376 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 33 | $33,359 | $11,797 | $8,775 |
| Community Mem HsptlMenomonee Falls | 33 | $32,648 | $9,305 | $7,691 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 30 | $27,602 | $13,427 | $7,792 |
| Aurora Lakeland Med CtrElkhorn | 29 | $36,127 | $9,778 | $8,883 |
| St Josephs Com Hsptl West BendWest Bend | 27 | $44,592 | $10,992 | $6,582 |
| Luther Hospital Mayo Health SystemEau Claire | 27 | $41,278 | $12,346 | $9,190 |
| St Vincent HsptlGreen Bay | 25 | $54,813 | $9,850 | $8,239 |
| Appleton Med CtrAppleton | 25 | $21,297 | $9,451 | $8,107 |
| St Clare's Hospital of Weston INCWeston | 24 | $24,927 | $8,383 | $7,295 |
| Aspirus Rhinelander HospitalRhinelander | 20 | $38,163 | $10,782 | $9,696 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 19 | $27,996 | $9,664 | $8,462 |
| Aurora Memorial Hsptl BurlingtonBurlington | 19 | $41,506 | $9,913 | $7,457 |
| Monroe ClinicMonroe | 17 | $47,853 | $11,290 | $8,635 |
| Bay Area Med CtrMarinette | 17 | $37,453 | $9,493 | $8,533 |
| Aurora Medical CenterGrafton | 17 | $38,724 | $9,127 | $6,611 |
| Divine Savior HlthcarePortage | 16 | $22,868 | $11,012 | $9,762 |
| Howard Young Med CtrWoodruff | 16 | $22,179 | $10,712 | $9,284 |
| St Elizabeth HsptlAppleton | 15 | $19,244 | $9,639 | $8,464 |
| St Nicholas HospitalSheboygan | 14 | $39,152 | $8,863 | $7,670 |
| St Agnes HsptlFond du Lac | 14 | $35,482 | $9,938 | $7,321 |
| Waukesha Memorial HospitalWaukesha | 13 | $54,091 | $8,619 | $7,725 |
| St Clare Hsptl Hlth SvcsBaraboo | 13 | $30,263 | $10,847 | $9,606 |
| Aurora Baycare Med CtrGreen Bay | 12 | $53,543 | $9,088 | $8,277 |
| Aurora Med Ctr OshkoshOshkosh | 12 | $25,885 | $9,978 | $6,834 |
| Marshfield Medical Center - Eau ClaireEau Claire | 12 | $34,091 | $8,542 | $7,726 |
| Marshfield Medical Center - MinocquaMinocqua | 12 | $23,332 | $8,273 | $6,777 |
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
| Marshfield Medical Center - MinocquaMinocqua, WI | $8,273 |
|---|---|
| St Clare's Hospital of Weston INCWeston, WI | $8,383 |
| Marshfield Medical Center - Eau ClaireEau Claire, WI | $8,542 |
| Waukesha Memorial HospitalWaukesha, WI | $8,619 |
| Aurora West Allis Medical CenterWest Allis, WI | $8,664 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $15,339 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $14,841 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids, WI | $13,427 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $13,010 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $12,346 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Wisconsin?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 45 hospitals in Wisconsin was billed at $41,098 on average, while the average total payment was $10,878, of which Medicare paid $8,412. 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 3.8 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.