Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Wisconsin
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$173,254typical hospital bill
$43,723typical amount paid
$36,271–$66,295range paid across 6 hospitals
Wisconsin hospitals billed Medicare a typical $173,254 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Bellin Memorial Hospital | Green Bay | 13 | $95,108 | $36,271 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 57 | $192,288 | $40,075 | |
| Aspirus Wausau Hospital | Wausau | 23 | $141,286 | $42,771 | |
| Aurora St Lukes Medical Center | Milwaukee | 37 | $205,518 | $44,675 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 27 | $154,220 | $47,017 | |
| University of Wi Hospitals & Clinics Authority | Madison | 32 | $228,053 | $66,295 |
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.