Heart catheterization, with major complications in Wisconsin
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
$67,489typical hospital bill
$17,994typical amount paid
$15,302–$28,728range paid across 15 hospitals
Wisconsin hospitals billed Medicare a typical $67,489 for this stay in 2024, about 3.8 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 | 12 | $60,846 | $15,302 | |
| Aurora Medical Center | Grafton | 13 | $81,218 | $16,116 | |
| Ssm Health St Agnes Hospital-Fond Du Lac | Fond Du Lac | 15 | $60,309 | $16,357 | |
| Thedacare Regional Medical Center - Appleton Inc | Appleton | 11 | $33,460 | $16,390 | |
| Community Memorial Hospital | Menomonee Falls | 18 | $71,840 | $17,012 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 38 | $63,062 | $17,187 | |
| Mayo Clinic Health System-Franciscan Medical Center Inc | La Crosse | 17 | $40,195 | $17,878 | |
| Unitypoint Health - Meriter | Madison | 31 | $94,433 | $17,994 | |
| Gundersen Lutheran Medical Center | La Crosse | 15 | $40,959 | $18,523 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 15 | $67,489 | $18,833 | |
| Aspirus Wausau Hospital | Wausau | 37 | $77,290 | $19,146 | |
| Marshfield Medical Center | Marshfield | 11 | $60,284 | $19,271 | |
| Aurora St Lukes Medical Center | Milwaukee | 145 | $112,729 | $21,585 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 49 | $110,875 | $25,237 | |
| University of Wi Hospitals & Clinics Authority | Madison | 38 | $118,416 | $28,728 |
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.