Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc in Wisconsin
MS-DRG 492: Lower extremity and humerus procedures except hip, foot and femur with mcc
$153,288typical hospital bill
$34,501typical amount paid
$24,693–$42,014range paid across 3 hospitals
Wisconsin hospitals billed Medicare a typical $153,288 for this stay in 2024, about 4.4 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 | 12 | $101,389 | $24,693 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 12 | $153,288 | $34,501 | |
| University of Wi Hospitals & Clinics Authority | Madison | 17 | $186,457 | $42,014 |
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.