Respiratory infections and inflammations with major complications in Wisconsin
What 50 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.
Average charge
$52,490
Hospital list price billed
Average payment
$14,386
Medicare + patient + other payers
Medicare paid
$11,554
Average per stay
State rank
#30 of 50
1 = lowest average payment
Hospitals in Wisconsin billed an average of $52,490 for respiratory infections and inflammations with major complications, about 3.6 times the average total payment of $14,386. That payment is 4% below the U.S. average of $14,949.
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 $14,386Billed $52,490
About 27¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Wisconsin:
Wisconsin hospitals: respiratory infections and inflammations 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 |
|---|---|---|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison | 187 | $77,037 | $20,974 | $14,371 |
| St Mary's HospitalMadison | 116 | $55,032 | $12,585 | $11,196 |
| Luther Hospital Mayo Health SystemEau Claire | 109 | $46,684 | $13,729 | $11,455 |
| Froedtert Mem Lutheran HsptlMilwaukee | 104 | $67,638 | $20,407 | $13,509 |
| Aurora St Lukes Medical CenterMilwaukee | 91 | $64,635 | $14,772 | $11,628 |
| Meriter HsptlMadison | 90 | $62,869 | $13,946 | $12,120 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 56 | $50,051 | $14,000 | $12,214 |
| St Josephs Com Hsptl West BendWest Bend | 53 | $52,793 | $10,794 | $9,717 |
| Community Mem HsptlMenomonee Falls | 53 | $41,431 | $12,768 | $9,568 |
| Waukesha Memorial HospitalWaukesha | 50 | $37,896 | $10,339 | $8,483 |
| Marshfield Medical CenterMarshfield | 50 | $45,669 | $15,579 | $12,980 |
| Aurora Med Ctr KenoshaKenosha | 44 | $56,405 | $12,361 | $10,315 |
| Aurora Medical CenterGrafton | 42 | $58,589 | $12,141 | $10,196 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 37 | $38,182 | $14,952 | $12,175 |
| Aurora Sheboygan Mem Med CtrSheboygan | 36 | $45,352 | $12,578 | $10,607 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 33 | $39,350 | $12,815 | $11,166 |
| Mercy Hlth Sys CorpJanesville | 32 | $54,204 | $13,484 | $11,124 |
| Froedtert SouthKenosha | 30 | $52,576 | $12,353 | $10,521 |
| Beloit Mem HsptlBeloit | 30 | $70,007 | $16,224 | $15,195 |
| Ascension SE Wisconsin HospitalMilwaukee | 30 | $48,176 | $14,043 | $11,676 |
| Gundersen Luth Med CtrLa Crosse | 29 | $37,994 | $14,398 | $12,162 |
| Aurora West Allis Medical CenterWest Allis | 29 | $66,306 | $12,638 | $9,797 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 29 | $52,526 | $11,545 | $10,364 |
| St Elizabeth HsptlAppleton | 28 | $35,985 | $12,962 | $10,964 |
| Monroe ClinicMonroe | 28 | $37,927 | $14,031 | $12,317 |
| Aspirus Wausau HospitalWausau | 28 | $55,923 | $12,256 | $10,869 |
| Aurora Lakeland Med CtrElkhorn | 28 | $41,222 | $13,550 | $11,117 |
| Appleton Med CtrAppleton | 26 | $31,977 | $14,202 | $8,914 |
| Bellin Memorial HsptlGreen Bay | 25 | $47,907 | $12,415 | $10,981 |
| St Agnes HsptlFond du Lac | 23 | $46,514 | $12,735 | $11,671 |
| St Clare Hsptl Hlth SvcsBaraboo | 22 | $44,880 | $14,729 | $13,097 |
| Bay Area Med CtrMarinette | 22 | $51,443 | $13,397 | $11,357 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 21 | $29,316 | $11,732 | $10,488 |
| St Clare's Hospital of Weston INCWeston | 21 | $35,618 | $11,553 | $10,310 |
| Thedacare Regional Med Ctr - NeenahNeenah | 20 | $25,366 | $10,751 | $9,528 |
| Aurora Baycare Med CtrGreen Bay | 20 | $57,593 | $17,352 | $10,213 |
| Marshfield Medical Center - Eau ClaireEau Claire | 19 | $36,531 | $11,712 | $10,767 |
| St Vincent HsptlGreen Bay | 18 | $62,757 | $12,051 | $10,963 |
| Oconomowoc Mem HsptlOconomowoc | 17 | $36,360 | $10,028 | $8,686 |
| St Nicholas HospitalSheboygan | 16 | $41,979 | $11,403 | $9,975 |
| Fort HealthcareFort Atkinson | 16 | $28,256 | $13,263 | $12,345 |
| St Marys Hsptl Med CtrGreen Bay | 16 | $59,998 | $18,312 | $8,362 |
| Aurora Medical CenterSummit | 15 | $39,941 | $11,242 | $9,937 |
| Marshfield Medical Center - Rice LakeRice Lake | 13 | $27,222 | $14,667 | $13,537 |
| Holy Family Memorial INCManitowoc | 12 | $50,278 | $11,901 | $10,575 |
| Aurora Med Ctr OshkoshOshkosh | 12 | $47,618 | $11,390 | $10,166 |
| Aspirus Rhinelander HospitalRhinelander | 11 | $33,446 | $14,471 | $12,965 |
| Beaver Dam Com HsptlBeaver Dam | 11 | $38,965 | $14,753 | $12,626 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 11 | $26,228 | $13,461 | $11,978 |
| Marshfield Medical Center - MinocquaMinocqua | 11 | $24,362 | $12,260 | $9,167 |
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
| Oconomowoc Mem HsptlOconomowoc, WI | $10,028 |
|---|---|
| Waukesha Memorial HospitalWaukesha, WI | $10,339 |
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $10,751 |
| St Josephs Com Hsptl West BendWest Bend, WI | $10,794 |
| Aurora Medical CenterSummit, WI | $11,242 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $20,974 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $20,407 |
| St Marys Hsptl Med CtrGreen Bay, WI | $18,312 |
| Aurora Baycare Med CtrGreen Bay, WI | $17,352 |
| Beloit Mem HsptlBeloit, WI | $16,224 |
Respiratory infections and inflammations with major complications in other states
Questions
How much does respiratory infections and inflammations with major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 50 hospitals in Wisconsin was billed at $52,490 on average, while the average total payment was $14,386, of which Medicare paid $11,554. 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 3.6 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.