Red blood cell disorders with major complications in Wisconsin
What 10 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.
Average charge
$46,190
Hospital list price billed
Average payment
$13,339
Medicare + patient + other payers
Medicare paid
$10,297
Average per stay
State rank
#24 of 43
1 = lowest average payment
Hospitals in Wisconsin billed an average of $46,190 for red blood cell disorders with major complications, about 3.5 times the average total payment of $13,339. That payment is 5% below the U.S. average of $14,033.
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 $13,339Billed $46,190
About 29¢ 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: red blood cell disorders with 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 |
|---|---|---|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee | 24 | $45,352 | $14,745 | $11,924 |
| University of Wi Hospitals & Clinics AuthorityMadison | 23 | $67,739 | $18,603 | $12,771 |
| Meriter HsptlMadison | 17 | $42,943 | $11,260 | $9,669 |
| Ascension SE Wisconsin HospitalMilwaukee | 17 | $40,000 | $13,009 | $10,172 |
| Community Mem HsptlMenomonee Falls | 15 | $39,545 | $10,131 | $8,838 |
| Aurora St Lukes Medical CenterMilwaukee | 15 | $74,639 | $14,495 | $8,250 |
| Aurora West Allis Medical CenterWest Allis | 15 | $42,129 | $10,732 | $8,201 |
| Gundersen Luth Med CtrLa Crosse | 14 | $14,362 | $11,963 | $10,570 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 13 | $33,529 | $12,574 | $9,765 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 12 | $48,610 | $12,103 | $10,625 |
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
| Community Mem HsptlMenomonee Falls, WI | $10,131 |
|---|---|
| Aurora West Allis Medical CenterWest Allis, WI | $10,732 |
| Meriter HsptlMadison, WI | $11,260 |
| Gundersen Luth Med CtrLa Crosse, WI | $11,963 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee, WI | $12,103 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $18,603 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $14,745 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $14,495 |
| Ascension SE Wisconsin HospitalMilwaukee, WI | $13,009 |
| Wheaton Franciscan Healthcare- All SaintsRacine, WI | $12,574 |
Red blood cell disorders with major complications in other states
Questions
How much does red blood cell disorders with major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 10 hospitals in Wisconsin was billed at $46,190 on average, while the average total payment was $13,339, of which Medicare paid $10,297. 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 3.5 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.