Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in Wisconsin
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$103,634typical hospital bill
$23,859typical amount paid
$21,959–$40,192range paid across 6 hospitals
Wisconsin hospitals billed Medicare a typical $103,634 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 | |
|---|---|---|---|---|---|
| Ssm Health St Mary's Hospital - Madison | Madison | 17 | $88,482 | $21,959 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 20 | $80,814 | $22,511 | |
| Gundersen Lutheran Medical Center | La Crosse | 15 | $59,152 | $22,851 | |
| Unitypoint Health - Meriter | Madison | 12 | $118,785 | $24,867 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 17 | $159,335 | $30,366 | |
| University of Wi Hospitals & Clinics Authority | Madison | 13 | $176,624 | $40,192 |
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.