Transurethral procedures with complications in Wisconsin
What 1 hospital in Wisconsin charged and were paid for a Medicare hospital stay for transurethral procedures with complications (DRG 669), from 2024 Medicare claims.
Average charge
$49,105
Hospital list price billed
Average payment
$11,800
Medicare + patient + other payers
Medicare paid
$10,078
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Wisconsin billed an average of $49,105 for transurethral procedures with complications, about 4.2 times the average total payment of $11,800. That payment is 22% below the U.S. average of $15,092.
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 $11,800Billed $49,105
About 24¢ 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: transurethral procedures with 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 |
|---|---|---|---|---|
| St Mary's HospitalMadison | 11 | $49,105 | $11,800 | $10,078 |
Transurethral procedures with complications in other states
Questions
How much does transurethral procedures with complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for transurethral procedures with complications (DRG 669) at 1 hospital in Wisconsin was billed at $49,105 on average, while the average total payment was $11,800, of which Medicare paid $10,078. 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 4.2 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.