St Josephs Community Hospital West Bend
ST JOSEPHS COMMUNITY HOSPITAL WEST BEND charges 5.9x the Medicare reimbursement rate across 17 analyzed procedures, reflecting the pricing patterns at this West Bend nonprofit facility.
West Bend, WI 53095 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
5.91x
Charge / Medicare rate
Max markup
8.88x
Worst procedure
Procedures analyzed
17
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,395 | $24,197 | — | 8.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,448 | $14,724 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,451 | $19,726 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $79,694 | $39,847 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $41,885 | $20,942 | — | 6.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $38,667 | $19,334 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,797 | $11,899 | — | 6x |
| RENAL FAILURE WITH CC | 683 | $27,632 | $13,816 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $28,902 | $14,451 | — | 5.9x |
| CELLULITIS WITHOUT MCC | 603 | $22,296 | $11,148 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $39,893 | $19,947 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $37,455 | $18,728 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $60,575 | $30,287 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,082 | $19,041 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $55,819 | $27,910 | — | 4.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $47,160 | $23,580 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $36,299 | $18,149 | — | 3.9x |
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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