Medical costs in Madison, WI
3 hospitals · 30 procedures tracked
By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
CMS price transparency
3 hospitals
Updated 2026-04-03
Compare your charges against 4 CMS benchmark datasets — including the rates shown on this page.
Hospitals in metro
3
Procedures tracked
30
vs national avg
0.83x
Top procedures by average charge in MADISON
All tracked procedures
| Procedure | Hospitals | Avg charge | vs national | Markup |
|---|---|---|---|---|
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCCDRG 981 | 3 | $181,630 | 0.91x | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCCDRG 853 | 3 | $180,440 | 0.89x | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCCDRG 329 | 3 | $136,710 | 0.68x | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCCDRG 521 | 3 | $135,975 | 1.06x | 4.9x |
| OTHER VASCULAR PROCEDURES WITH MCCDRG 252 | 3 | $130,384 | 0.82x | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCCDRG 480 | 3 | $123,975 | 0.96x | 4.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURSDRG 208 | 3 | $122,991 | 0.98x | 5.7x |
| OTHER VASCULAR PROCEDURES WITH CCDRG 253 | 3 | $105,242 | 0.83x | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CCDRG 481 | 3 | $80,907 | 0.88x | 5.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCCDRG 522 | 3 | $80,841 | 0.85x | 5x |
| GASTROINTESTINAL OBSTRUCTION WITH MCCDRG 388 | 3 | $79,021 | 1.22x | 7.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CCDRG 330 | 3 | $77,989 | 0.71x | 4.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCCDRG 247 | 3 | $77,511 | 0.69x | 5.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCCDRG 286 | 3 | $77,199 | 0.77x | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCCDRG 064 | 3 | $75,700 | 0.86x | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCCDRG 871 | 3 | $75,486 | 1.01x | 4.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCCDRG 314 | 3 | $74,413 | 0.84x | 4.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCCDRG 917 | 3 | $72,586 | 0.96x | 5.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CCDRG 418 | 3 | $71,190 | 0.83x | 6.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCCDRG 698 | 3 | $69,350 | 1.04x | 5.1x |
Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →
Data sources: CMS Hospital Price Transparency files, Medicare IPPS DRG rates, FY 2024. All pricing data publicly available under 45 CFR Part 180.
City-level methodology: Cost indices are computed by comparing the average markup ratio of hospitals in this metro area against the national median. Values above 1.0x indicate higher-than-average charges relative to Medicare.