Pulmonary embolism with major complications or acute cor pulmonale in Wisconsin
What 14 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$50,588
Hospital list price billed
Average payment
$13,445
Medicare + patient + other payers
Medicare paid
$9,742
Average per stay
State rank
#35 of 48
1 = lowest average payment
Hospitals in Wisconsin billed an average of $50,588 for pulmonary embolism with major complications or acute cor pulmonale, about 3.8 times the average total payment of $13,445. That payment is about the same as the U.S. average of $13,466.
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 $13,445Billed $50,588
About 27¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 | 43 | $42,985 | $10,599 | $9,269 |
| University of Wi Hospitals & Clinics AuthorityMadison | 40 | $65,108 | $20,751 | $10,678 |
| Luther Hospital Mayo Health SystemEau Claire | 29 | $45,972 | $13,210 | $9,238 |
| Aurora St Lukes Medical CenterMilwaukee | 29 | $90,385 | $14,713 | $10,677 |
| Froedtert Mem Lutheran HsptlMilwaukee | 25 | $59,441 | $16,203 | $10,892 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 19 | $29,992 | $11,859 | $10,054 |
| Appleton Med CtrAppleton | 19 | $26,788 | $12,325 | $8,237 |
| Aurora Med Ctr KenoshaKenosha | 19 | $46,778 | $10,052 | $8,850 |
| Meriter HsptlMadison | 18 | $46,329 | $11,926 | $8,830 |
| Gundersen Luth Med CtrLa Crosse | 17 | $20,611 | $11,762 | $9,806 |
| Waukesha Memorial HospitalWaukesha | 16 | $53,142 | $9,428 | $7,943 |
| Aspirus Wausau HospitalWausau | 13 | $43,126 | $11,645 | $8,152 |
| Beloit Mem HsptlBeloit | 13 | $59,844 | $13,658 | $12,403 |
| Ascension SE Wisconsin HospitalMilwaukee | 12 | $45,792 | $12,446 | $10,700 |
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 | $9,428 |
|---|---|
| Aurora Med Ctr KenoshaKenosha, WI | $10,052 |
| St Mary's HospitalMadison, WI | $10,599 |
| Aspirus Wausau HospitalWausau, WI | $11,645 |
| Gundersen Luth Med CtrLa Crosse, WI | $11,762 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $20,751 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $16,203 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $14,713 |
| Beloit Mem HsptlBeloit, WI | $13,658 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $13,210 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Wisconsin?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 14 hospitals in Wisconsin was billed at $50,588 on average, while the average total payment was $13,445, of which Medicare paid $9,742. 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.