Stomach and digestive disorders, with major complications in Wisconsin
MS-DRG 391: Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
$46,315typical hospital bill
$10,984typical amount paid
$8,916–$17,999range paid across 13 hospitals
Wisconsin hospitals billed Medicare a typical $46,315 for this stay in 2024, about 4.2 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 | Grafton | 14 | $55,852 | $8,916 | |
| Waukesha Memorial Hospital | Waukesha | 15 | $45,527 | $9,056 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 30 | $46,315 | $10,014 | |
| Aurora Medical Center Sheboygan County | Sheboygan | 11 | $32,273 | $10,574 | |
| Unitypoint Health - Meriter | Madison | 20 | $40,970 | $10,583 | |
| Marshfield Medical Center | Marshfield | 20 | $24,093 | $10,913 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 29 | $40,117 | $10,984 | |
| Ascension Columbia St Marys Hospital Milwaukee | Milwaukee | 14 | $39,238 | $11,177 | |
| Froedtert South Inc. | Kenosha | 13 | $51,826 | $12,279 | |
| Aurora St Lukes Medical Center | Milwaukee | 36 | $53,491 | $12,292 | |
| Community Memorial Hospital | Menomonee Falls | 15 | $57,913 | $12,997 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 55 | $46,407 | $14,013 | |
| University of Wi Hospitals & Clinics Authority | Madison | 51 | $62,816 | $17,999 |
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.