Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc in Wisconsin

MS-DRG 234: Coronary bypass with cardiac catheterization or open ablation without mcc

$156,440typical hospital bill

$43,612typical amount paid

$38,285–$61,449range paid across 7 hospitals

Wisconsin hospitals billed Medicare a typical $156,440 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
Ssm Health St Mary's Hospital - Madison	Madison	36	$192,113	$38,285
Aspirus Wausau Hospital	Wausau	16	$147,145	$40,048
Mayo Clinic Health System Eau Claire Hospital	Eau Claire	13	$156,440	$42,290
Bellin Memorial Hospital	Green Bay	12	$98,864	$43,612
Gundersen Lutheran Medical Center	La Crosse	13	$137,823	$48,126
University of Wi Hospitals & Clinics Authority	Madison	12	$260,843	$54,182
Aurora St Lukes Medical Center	Milwaukee	12	$213,213	$61,449

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.