US Health Care Costs

Other Factors Influencing Health Status in Wisconsin

MS-DRG 951: Other factors influencing health status

$25,279typical hospital bill
$4,692typical amount paid
$4,517–$5,490range paid across 3 hospitals

Wisconsin hospitals billed Medicare a typical $25,279 for this stay in 2024, about 5.4 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)

HospitalCityMedicare staysBilledPaid
Aspirus Wausau HospitalWausau12$14,687$4,517
Ssm Health St Mary's Hospital - MadisonMadison26$26,336$4,692
Aurora St Lukes Medical CenterMilwaukee16$25,279$5,490

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.