Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc in Wisconsin

MS-DRG 493: Lower extremity and humerus procedures except hip, foot and femur with cc

$80,805typical hospital bill

$20,930typical amount paid

$15,387–$25,395range paid across 8 hospitals

Wisconsin hospitals billed Medicare a typical $80,805 for this stay in 2024, about 3.9 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	11	$75,636	$15,387
Ssm Health St Mary's Hospital - Madison	Madison	49	$77,932	$17,974
Gundersen Lutheran Medical Center	La Crosse	14	$70,125	$19,662
Aurora St Lukes Medical Center	Milwaukee	12	$87,079	$20,224
Marshfield Medical Center	Marshfield	11	$81,270	$21,635
Aspirus Wausau Hospital	Wausau	16	$80,339	$25,210
University of Wi Hospitals & Clinics Authority	Madison	30	$101,666	$25,259
Froedtert Memorial Lutheran Hospital	Milwaukee	31	$126,448	$25,395

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.