Respiratory system diagnosis with ventilator support <=96 hours in Wisconsin
What 13 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208), from 2024 Medicare claims.
Average charge
$105,620
Hospital list price billed
Average payment
$27,292
Medicare + patient + other payers
Medicare paid
$21,224
Average per stay
State rank
#36 of 45
1 = lowest average payment
Hospitals in Wisconsin billed an average of $105,620 for respiratory system diagnosis with ventilator support <=96 hours, about 3.9 times the average total payment of $27,292. That payment is 6% above the U.S. average of $25,674.
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 $27,292Billed $105,620
About 26¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Wisconsin hospitals: respiratory system diagnosis with ventilator support <=96 hours
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 | 68 | $124,187 | $32,693 | $22,736 |
| University of Wi Hospitals & Clinics AuthorityMadison | 38 | $156,529 | $35,366 | $26,508 |
| Aurora St Lukes Medical CenterMilwaukee | 33 | $112,492 | $25,579 | $19,200 |
| Luther Hospital Mayo Health SystemEau Claire | 25 | $84,928 | $23,931 | $22,807 |
| Gundersen Luth Med CtrLa Crosse | 23 | $34,610 | $22,565 | $20,854 |
| St Mary's HospitalMadison | 20 | $95,956 | $20,515 | $18,809 |
| Aspirus Wausau HospitalWausau | 15 | $84,576 | $26,151 | $15,934 |
| Marshfield Medical CenterMarshfield | 13 | $86,065 | $25,180 | $22,869 |
| St Vincent HsptlGreen Bay | 13 | $94,818 | $19,103 | $17,848 |
| Appleton Med CtrAppleton | 13 | $55,374 | $22,325 | $17,404 |
| Meriter HsptlMadison | 12 | $133,661 | $23,086 | $21,705 |
| Froedtert SouthKenosha | 11 | $95,885 | $21,565 | $20,341 |
| Mercy Hlth Sys CorpJanesville | 11 | $110,523 | $30,920 | $15,395 |
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
| St Vincent HsptlGreen Bay, WI | $19,103 |
|---|---|
| St Mary's HospitalMadison, WI | $20,515 |
| Froedtert SouthKenosha, WI | $21,565 |
| Appleton Med CtrAppleton, WI | $22,325 |
| Gundersen Luth Med CtrLa Crosse, WI | $22,565 |
Highest
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $35,366 |
|---|---|
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $32,693 |
| Mercy Hlth Sys CorpJanesville, WI | $30,920 |
| Aspirus Wausau HospitalWausau, WI | $26,151 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $25,579 |
Respiratory system diagnosis with ventilator support <=96 hours in other states
Questions
How much does respiratory system diagnosis with ventilator support <=96 hours cost in Wisconsin?
In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208) at 13 hospitals in Wisconsin was billed at $105,620 on average, while the average total payment was $27,292, of which Medicare paid $21,224. 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 3.9 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.