facebook tracking Signs and symptoms without major complications cost in Wisconsin: 8 hospitals compared (DRG 948)

Signs and symptoms without major complications in Wisconsin

What 8 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for signs and symptoms without major complications (DRG 948), from 2024 Medicare claims.

DRG 948 Inpatient 2024 Medicare data
Average charge $33,021 Hospital list price billed
Average payment $8,145 Medicare + patient + other payers
Medicare paid $5,240 Average per stay
State rank #30 of 37 1 = lowest average payment

Hospitals in Wisconsin billed an average of $33,021 for signs and symptoms without major complications, about 4.1 times the average total payment of $8,145. That payment is about the same as the U.S. average of $8,086.

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 $8,145Billed $33,021

About 25¢ 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: signs and symptoms without 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 25 $44,069 $10,433 $5,902
University of Wi Hospitals & Clinics AuthorityMadison 22 $40,952 $11,143 $5,670
Aurora St Lukes Medical CenterMilwaukee 21 $39,215 $8,540 $5,135
St Mary's HospitalMadison 17 $26,861 $6,221 $4,966
Waukesha Memorial HospitalWaukesha 13 $27,441 $5,241 $4,009
Luther Hospital Mayo Health SystemEau Claire 11 $17,423 $6,144 $4,985
Meriter HsptlMadison 11 $21,738 $6,186 $5,231
UW Hlth Partners - Watertown Regional Medical CtrWatertown 11 $23,221 $6,555 $5,220
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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.

Signs and symptoms without major complications in other states

Questions

How much does signs and symptoms without major complications cost in Wisconsin?

In 2024 Medicare data, a hospital stay for signs and symptoms without major complications (DRG 948) at 8 hospitals in Wisconsin was billed at $33,021 on average, while the average total payment was $8,145, of which Medicare paid $5,240. 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 4.1 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.