Healthcare Pricing Data: KENOSHA, WI
2 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
2
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
5.5x
Across all procedures
vs National Average
-24%
Chargemaster rates
About This Data
KENOSHA, WI has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in KENOSHA is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $179,963 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $179,963 | 2 | 4.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $98,628 | 2 | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $74,389 | 2 | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $56,774 | 2 | 4.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $55,055 | 2 | 4.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,063 | 2 | 4.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $47,267 | 2 | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $45,430 | 2 | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,189 | 2 | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,866 | 2 | 7.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $42,280 | 2 | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $42,273 | 2 | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,439 | 2 | 6.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,324 | 2 | 5.0x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,308 | 2 | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,871 | 2 | 5.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $36,318 | 2 | 5.3x |
| SYNCOPE AND COLLAPSE | 312 | $36,214 | 2 | 6.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,638 | 2 | 4.4x |
| RENAL FAILURE WITH CC | 683 | $34,496 | 2 | 6.0x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,443 | 2 | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,020 | 2 | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,333 | 2 | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,025 | 2 | 6.0x |
| CELLULITIS WITHOUT MCC | 603 | $26,123 | 2 | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $134,233 | 1 | 4.7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $128,092 | 1 | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $101,783 | 1 | 7.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $87,320 | 1 | 6.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $75,354 | 1 | 6.0x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in KENOSHA With Pricing Data
Have a bill from a KENOSHA hospital?
Upload your bill and our system compares every line item against publicly available Medicare reimbursement data. Free comparison in 60 seconds.
Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error