Fracture or sprain (not hip or thigh) in Wisconsin
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$29,154typical hospital bill
$6,983typical amount paid
$5,932–$11,075range paid across 11 hospitals
Wisconsin hospitals billed Medicare a typical $29,154 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 | |
|---|---|---|---|---|---|
| Waukesha Memorial Hospital | Waukesha | 16 | $21,905 | $5,932 | |
| Community Memorial Hospital | Menomonee Falls | 14 | $27,292 | $6,614 | |
| West Allis Memorial Hospital | West Allis | 22 | $34,235 | $6,655 | |
| Froedtert South Inc. | Kenosha | 12 | $23,377 | $6,807 | |
| Unitypoint Health - Meriter | Madison | 20 | $29,221 | $6,920 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 14 | $20,917 | $6,983 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 12 | $29,154 | $7,595 | |
| Ascension SE Wisconsin Hospital | Milwaukee | 13 | $17,548 | $7,950 | |
| Aurora St Lukes Medical Center | Milwaukee | 20 | $37,171 | $8,128 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 16 | $51,461 | $10,330 | |
| University of Wi Hospitals & Clinics Authority | Madison | 30 | $39,627 | $11,075 |
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.