Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Wisconsin
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$418,444typical hospital bill
$117,014typical amount paid
$115,852–$118,175range paid across 2 hospitals
Wisconsin hospitals billed Medicare a typical $418,444 for this stay in 2024, about 3.6 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 St Lukes Medical Center | Milwaukee | 30 | $386,693 | $115,852 | |
| University of Wi Hospitals & Clinics Authority | Madison | 11 | $450,195 | $118,175 |
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.