Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc in Wisconsin
MS-DRG 897: Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
$26,619typical hospital bill
$7,537typical amount paid
$6,523–$11,158range paid across 9 hospitals
Wisconsin hospitals billed Medicare a typical $26,619 for this stay in 2024, about 3.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Aurora Medical Center Sheboygan County | Sheboygan | 12 | $29,429 | $6,523 | |
| Thedacare Regional Med Ctr - Neenah | Neenah | 12 | $16,241 | $6,671 | |
| Mercy Health System Corp | Janesville | 15 | $26,619 | $6,925 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 16 | $33,521 | $7,336 | |
| Unitypoint Health - Meriter | Madison | 27 | $25,781 | $7,537 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 33 | $26,319 | $7,715 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 14 | $26,307 | $8,458 | |
| Aurora St Lukes Medical Center | Milwaukee | 17 | $32,980 | $8,658 | |
| University of Wi Hospitals & Clinics Authority | Madison | 16 | $29,305 | $11,158 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.