Healthcare Pricing Data: MADISON, WI
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
5.0x
Across all procedures
vs National Average
-17%
Chargemaster rates
About This Data
MADISON, WI has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in MADISON is EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC (DRG 981), with an average chargemaster rate of $181,630 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 |
|---|---|---|---|---|
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $181,630 | 3 | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $180,440 | 3 | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $136,710 | 3 | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $135,975 | 3 | 4.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $130,384 | 3 | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $123,975 | 3 | 4.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $122,991 | 3 | 5.7x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $105,242 | 3 | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $80,907 | 3 | 5.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $80,841 | 3 | 5.0x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $79,021 | 3 | 7.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $77,989 | 3 | 4.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $77,511 | 3 | 5.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $77,199 | 3 | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $75,700 | 3 | 5.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $75,486 | 3 | 4.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,413 | 3 | 4.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $72,586 | 3 | 5.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $71,190 | 3 | 6.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $69,350 | 3 | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $66,129 | 3 | 4.3x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $64,419 | 3 | 4.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $64,396 | 3 | 5.0x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $63,801 | 3 | 4.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $58,644 | 3 | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $56,633 | 3 | 4.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $53,307 | 3 | 5.2x |
| CELLULITIS WITH MCC | 602 | $50,511 | 3 | 5.0x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $50,373 | 3 | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $49,797 | 3 | 4.5x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in MADISON With Pricing Data
Have a bill from a MADISON 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