Community Memorial Hospital
Community Memorial Hospital in Menomonee Falls, Wisconsin charges 5.2x the Medicare reimbursement rate based on analysis of 47 procedures at this nonprofit facility.
Menomonee Falls, WI 53051 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.24x
Charge / Medicare rate
Max markup
7.56x
Worst procedure
Procedures analyzed
47
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 |
|---|---|---|---|---|---|
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $32,016 | $16,008 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $69,733 | $34,866 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,470 | $9,735 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,004 | $21,502 | — | 7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $33,895 | $16,948 | — | 7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $56,553 | $28,276 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,012 | $19,506 | — | 6.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $28,184 | $14,092 | — | 6.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,110 | $13,055 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,247 | $14,123 | — | 6.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $41,157 | $20,578 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,833 | $13,917 | — | 5.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $74,211 | $37,105 | — | 5.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,228 | $14,114 | — | 5.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $77,963 | $38,981 | — | 5.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $136,094 | $68,047 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,660 | $16,830 | — | 5.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,532 | $12,766 | — | 5.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $29,596 | $14,798 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $25,223 | $12,611 | — | 5.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $97,265 | $48,633 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,356 | $15,178 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,500 | $20,250 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $81,381 | $40,690 | — | 5.2x |
| SYNCOPE AND COLLAPSE | 312 | $25,570 | $12,785 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $39,972 | $19,986 | — | 4.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $23,023 | $11,512 | — | 4.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,866 | $19,433 | — | 4.8x |
| CELLULITIS WITHOUT MCC | 603 | $22,281 | $11,141 | — | 4.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $33,522 | $16,761 | — | 4.7x |
| RENAL FAILURE WITH MCC | 682 | $44,606 | $22,303 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $36,047 | $18,024 | — | 4.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $105,321 | $52,661 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $29,446 | $14,723 | — | 4.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $26,064 | $13,032 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $50,582 | $25,291 | — | 4.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $32,685 | $16,343 | — | 4.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $31,184 | $15,592 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $48,939 | $24,469 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $53,299 | $26,649 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $31,547 | $15,774 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $49,732 | $24,866 | — | 4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $24,394 | $12,197 | — | 3.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $122,469 | $61,235 | — | 3.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $149,201 | $74,600 | — | 3.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $37,029 | $18,514 | — | 3.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $48,317 | $24,159 | — | 3.5x |
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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