US Health Care Costs

Pneumonia, with major complications in Wisconsin

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$34,936typical hospital bill
$10,557typical amount paid
$8,602–$16,522range paid across 53 hospitals

Wisconsin hospitals billed Medicare a typical $34,936 for this stay in 2024, about 3.3 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)

HospitalCityMedicare staysBilledPaid
St Josephs Community Hospital West BendWest Bend18$41,194$8,602
Waukesha Memorial HospitalWaukesha53$44,575$8,618
Marshfield Medical Center - MinocquaMinocqua12$22,506$8,875
Oconomowoc Memorial HospitalOconomowoc14$32,498$8,910
Marshfield Medical Center - WestonWeston21$34,854$8,960
Aurora Medical CenterGrafton40$41,454$8,963
Aurora Medical Center - SummitSummit17$29,160$9,228
Ssm Health St Mary's Hospital - JanesvilleJanesville18$42,374$9,269
Marshfield Medical Center - Eau ClaireEau Claire32$34,525$9,269
Aurora BayCare Medical CtrGreen Bay12$34,919$9,297
St Marys Hospital Medical CtrGreen Bay15$47,068$9,324
Bellin Memorial HospitalGreen Bay17$23,912$9,440
Aurora Memorial Hospital BurlingtonBurlington22$31,284$9,546
St Vincent HospitalGreen Bay27$44,898$9,692
Froedtert South Inc.Kenosha48$32,226$9,754
St Nicholas HospitalSheboygan13$35,314$9,941
Ascension NE Wisconsin - St Elizabeth CampusAppleton29$26,236$9,963
Ssm Health St Agnes Hospital-Fond Du LacFond Du Lac30$32,140$10,028
Aurora Medical Ctr OshkoshOshkosh20$31,406$10,055
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point15$27,961$10,092
Aurora Medical Center Sheboygan CountySheboygan35$34,705$10,120
Aurora Medical Center KenoshaKenosha64$39,235$10,142
Community Memorial HospitalMenomonee Falls42$37,790$10,194
West Allis Memorial HospitalWest Allis20$49,834$10,296
Aurora Medical Center Bay AreaMarinette25$48,320$10,308
Mayo Clinic Health System Eau Claire HospitalEau Claire74$35,147$10,459
Ssm Health St Mary's Hospital - MadisonMadison80$44,209$10,557
Aspirus Wausau HospitalWausau37$43,456$10,822
Fort Memorial HospitalFort Atkinson14$32,220$10,979
Ascension All Saints HospitalRacine30$32,838$11,012
Thedacare Regional Medical Center - Appleton IncAppleton22$27,450$11,082
Howard Young Medical CenterWoodruff30$26,324$11,087
Watertown Memorial HospitalWatertown14$34,936$11,096
Marshfield Medical Center - Rice LakeRice Lake23$21,632$11,164
Ascension SE Wisconsin HospitalMilwaukee49$31,361$11,184
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids19$28,404$11,300
Gundersen Lutheran Medical CenterLa Crosse38$21,755$11,551
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse31$34,273$11,619
Aspirus Divine Savior HospitalPortage13$29,974$11,629
Aurora Lakeland Medical CenterElkhorn30$39,810$11,708
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee61$47,754$11,773
Ssm Health St Clare Hospital - BarabooBaraboo38$36,103$11,798
Marshfield Medical CenterMarshfield39$26,977$11,834
The Monroe ClinicMonroe29$37,742$11,938
Mile Bluff Medical CenterMauston15$38,341$12,003
Unitypoint Health - MeriterMadison67$61,421$12,123
Aurora Medical Ctr Washington CountyHartford14$29,807$12,189
Aurora St Lukes Medical CenterMilwaukee80$64,609$12,623
Beloit Health SystemBeloit44$49,562$12,835
Mercy Health System CorpJanesville33$66,593$13,609
Froedtert Memorial Lutheran HospitalMilwaukee83$44,808$14,206
Aspirus Rhinelander HospitalRhinelander15$44,295$14,322
University of Wi Hospitals & Clinics AuthorityMadison95$54,313$16,522

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.