Thedacare Regional Med Ctr - Neenah
ThedaCare Regional Med Ctr - Neenah charges 3.6x the Medicare reimbursement rate across 24 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in Wisconsin.
Neenah, WI 54956 · Acute Care Hospitals · CMS Rating: 5/5
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
C
Average
Avg markup vs Medicare
3.63x
Charge / Medicare rate
Max markup
6.25x
Worst procedure
Procedures analyzed
24
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 |
|---|---|---|---|---|---|
| SEIZURES WITHOUT MCC | 101 | $30,138 | $15,069 | — | 6.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $19,726 | $9,863 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $26,838 | $13,419 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $22,713 | $11,356 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $24,524 | $12,262 | — | 4x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $74,247 | $37,123 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $24,652 | $12,326 | — | 3.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $77,980 | $38,990 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $14,196 | $7,098 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $20,477 | $10,239 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $33,160 | $16,580 | — | 3.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $73,282 | $36,641 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $43,437 | $21,719 | — | 3.6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $49,895 | $24,948 | — | 3.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $62,005 | $31,002 | — | 3.3x |
| PSYCHOSES | 885 | $24,997 | $12,498 | — | 3.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $34,330 | $17,165 | — | 3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $20,764 | $10,382 | — | 3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $30,754 | $15,377 | — | 2.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $25,799 | $12,900 | — | 2.8x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $93,444 | $46,722 | — | 2.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $68,564 | $34,282 | — | 2.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $63,675 | $31,838 | — | 2.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $57,786 | $28,893 | — | 2.2x |
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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