Heart valve replacement through a catheter (TAVR), with major complications in Wisconsin
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$150,669typical hospital bill
$50,775typical amount paid
$42,422–$67,139range paid across 11 hospitals
Wisconsin hospitals billed Medicare a typical $150,669 for this stay in 2024, about 3.0 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 | |
|---|---|---|---|---|---|
| Bellin Memorial Hospital | Green Bay | 42 | $97,608 | $42,422 | |
| Aspirus Wausau Hospital | Wausau | 161 | $122,508 | $43,565 | |
| Ascension NE Wisconsin - St Elizabeth Campus | Appleton | 13 | $150,669 | $44,451 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 20 | $193,580 | $46,263 | |
| Mayo Clinic Health System Eau Claire Hospital | Eau Claire | 19 | $118,380 | $47,618 | |
| Gundersen Lutheran Medical Center | La Crosse | 21 | $139,188 | $50,775 | |
| Ascension Columbia St Marys Hospital Milwaukee | Milwaukee | 23 | $236,918 | $52,716 | |
| St Vincent Hospital | Green Bay | 12 | $137,741 | $54,387 | |
| Aurora St Lukes Medical Center | Milwaukee | 89 | $374,939 | $60,577 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 41 | $241,858 | $65,781 | |
| University of Wi Hospitals & Clinics Authority | Madison | 56 | $234,918 | $67,139 |
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.