Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Wisconsin
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$257,392typical hospital bill
$71,248typical amount paid
$58,311–$88,014range paid across 7 hospitals
Wisconsin hospitals billed Medicare a typical $257,392 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 | |
|---|---|---|---|---|---|
| Aspirus Wausau Hospital | Wausau | 14 | $177,530 | $58,311 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 12 | $179,492 | $60,285 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 35 | $257,392 | $61,720 | |
| Marshfield Medical Center | Marshfield | 15 | $172,057 | $71,248 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 55 | $285,058 | $76,590 | |
| Aurora St Lukes Medical Center | Milwaukee | 62 | $275,004 | $81,428 | |
| University of Wi Hospitals & Clinics Authority | Madison | 42 | $333,800 | $88,014 |
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.