Lung infection, with complications in Wisconsin
MS-DRG 178: Respiratory infections and inflammations with cc
$34,861typical hospital bill
$8,001typical amount paid
$6,711–$14,335range paid across 15 hospitals
Wisconsin hospitals billed Medicare a typical $34,861 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 | |
|---|---|---|---|---|---|
| Waukesha Memorial Hospital | Waukesha | 29 | $31,371 | $6,711 | |
| Ssm Health St Mary's Hospital - Janesville | Janesville | 15 | $39,018 | $6,850 | |
| Aurora Medical Center Sheboygan County | Sheboygan | 11 | $31,128 | $7,210 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 32 | $34,861 | $7,451 | |
| Ssm Health St Agnes Hospital-Fond Du Lac | Fond Du Lac | 11 | $24,244 | $7,586 | |
| Community Memorial Hospital | Menomonee Falls | 13 | $34,411 | $7,603 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 40 | $31,634 | $7,882 | |
| Mercy Health System Corp | Janesville | 11 | $56,243 | $8,001 | |
| Unitypoint Health - Meriter | Madison | 17 | $39,109 | $8,106 | |
| Ascension SE Wisconsin Hospital | Milwaukee | 12 | $23,409 | $8,715 | |
| Aurora St Lukes Medical Center | Milwaukee | 21 | $47,916 | $8,917 | |
| Ascension Columbia St Marys Hospital Milwaukee | Milwaukee | 11 | $43,085 | $9,141 | |
| Froedtert South Inc. | Kenosha | 14 | $32,051 | $9,211 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 35 | $43,874 | $12,559 | |
| University of Wi Hospitals & Clinics Authority | Madison | 41 | $49,452 | $14,335 |
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.