Hip or thigh bone surgery (not replacement), with major complications in Wisconsin
MS-DRG 480: Hip and femur procedures except major joint with mcc
$100,671typical hospital bill
$23,563typical amount paid
$19,572–$39,427range paid across 11 hospitals
Wisconsin hospitals billed Medicare a typical $100,671 for this stay in 2024, about 4.3 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 Kenosha | Kenosha | 11 | $96,839 | $19,572 | |
| Aurora Medical Center - Summit | Summit | 11 | $100,671 | $19,596 | |
| Aurora St Lukes Medical Center | Milwaukee | 17 | $117,264 | $22,726 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 39 | $105,372 | $23,014 | |
| Unitypoint Health - Meriter | Madison | 23 | $114,726 | $23,327 | |
| Ascension SE Wisconsin Hospital | Milwaukee | 11 | $91,603 | $23,563 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 26 | $85,581 | $23,641 | |
| Gundersen Lutheran Medical Center | La Crosse | 19 | $72,651 | $24,707 | |
| Marshfield Medical Center | Marshfield | 23 | $79,819 | $25,991 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 26 | $176,302 | $33,692 | |
| University of Wi Hospitals & Clinics Authority | Madison | 50 | $165,846 | $39,427 |
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.