Aurora Medical Center - Summit
Aurora Medical Center - Summit in Summit, WI charges 5.6x the Medicare reimbursement rate across 25 analyzed procedures, representing a significant markup for this nonprofit-private hospital.
Summit, WI 53066 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.62x
Charge / Medicare rate
Max markup
9.18x
Worst procedure
Procedures analyzed
25
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| RENAL FAILURE WITH MCC | 682 | $58,285 | $29,143 | — | 9.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $35,931 | $17,965 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $37,199 | $18,599 | — | 8.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,362 | $20,181 | — | 8.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,720 | $14,360 | — | 6.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $34,623 | $17,311 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,873 | $14,937 | — | 6.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,503 | $12,252 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $45,890 | $22,945 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,776 | $14,888 | — | 5.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,163 | $16,581 | — | 5.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $35,831 | $17,916 | — | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $54,852 | $27,426 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $55,992 | $27,996 | — | 5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,082 | $11,041 | — | 5x |
| RENAL FAILURE WITH CC | 683 | $25,152 | $12,576 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $60,284 | $30,142 | — | 4.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $47,379 | $23,690 | — | 4.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $27,240 | $13,620 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,861 | $8,430 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $45,213 | $22,606 | — | 4.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $115,341 | $57,670 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,725 | $16,363 | — | 4.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $30,953 | $15,476 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $46,840 | $23,420 | — | 4.1x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use