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Healthcare Pricing Data: MILWAUKEE, WI

5 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

5

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

5.1x

Across all procedures

vs National Average

-11%

Chargemaster rates

About This Data

MILWAUKEE, WI has 5 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in MILWAUKEE is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $184,810 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

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$64,50054.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$57,89854.8x
HEART FAILURE AND SHOCK WITH MCC291$45,06654.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$40,49354.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$184,81044.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$126,48746.0x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$115,95546.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$96,58745.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$93,56446.7x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$85,39845.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$80,32345.1x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$63,69544.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$57,20144.0x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$56,45544.7x
RED BLOOD CELL DISORDERS WITH MCC811$54,80545.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$52,55845.5x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$52,50045.1x
PSYCHOSES885$52,31744.5x
RENAL FAILURE WITH MCC682$51,17744.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$46,91146.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$45,89744.8x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$45,05544.8x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$42,76445.0x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$41,33344.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$40,91546.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$39,30845.5x
GASTROINTESTINAL HEMORRHAGE WITH CC378$37,94345.4x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$35,81344.4x
SYNCOPE AND COLLAPSE312$32,99045.3x
RENAL FAILURE WITH CC683$32,01344.8x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data 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