Unitypoint Health - Meriter
UNITYPOINT HEALTH - MERITER in Madison, Wisconsin charges 5.2x the Medicare reimbursement rate across 89 analyzed procedures, positioning it among nonprofit hospitals with moderate pricing premiums.
Madison, WI 53715 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.24x
Charge / Medicare rate
Max markup
8.73x
Worst procedure
Procedures analyzed
89
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $38,303 | $19,151 | — | 8.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $22,988 | $11,494 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $79,420 | $39,710 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,660 | $10,830 | — | 7.5x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $77,927 | $38,963 | — | 7.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $35,135 | $17,567 | — | 7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $77,410 | $38,705 | — | 6.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $59,359 | $29,680 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $38,214 | $19,107 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $87,012 | $43,506 | — | 6.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,285 | $18,143 | — | 6.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $44,027 | $22,013 | — | 6.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $129,456 | $64,728 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $25,032 | $12,516 | — | 6.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $90,446 | $45,223 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,650 | $14,325 | — | 6.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $43,360 | $21,680 | — | 6.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $82,297 | $41,149 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,489 | $18,745 | — | 6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,109 | $15,055 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $38,118 | $19,059 | — | 6x |
| DIABETES WITH CC | 638 | $33,756 | $16,878 | — | 6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $31,615 | $15,807 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,624 | $13,812 | — | 5.9x |
| CELLULITIS WITH MCC | 602 | $58,336 | $29,168 | — | 5.8x |
| RENAL FAILURE WITH CC | 683 | $30,811 | $15,406 | — | 5.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $110,885 | $55,443 | — | 5.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $60,320 | $30,160 | — | 5.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $37,920 | $18,960 | — | 5.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $58,052 | $29,026 | — | 5.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $30,474 | $15,237 | — | 5.6x |
| SYNCOPE AND COLLAPSE | 312 | $30,876 | $15,438 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $373,999 | $187,000 | — | 5.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $82,325 | $41,162 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $65,665 | $32,832 | — | 5.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $30,580 | $15,290 | — | 5.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $39,426 | $19,713 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $75,117 | $37,558 | — | 5.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $27,352 | $13,676 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $58,474 | $29,237 | — | 5.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $68,501 | $34,250 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,296 | $14,148 | — | 5.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $75,859 | $37,929 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $75,337 | $37,669 | — | 5.2x |
| HYPERTENSION WITHOUT MCC | 305 | $23,720 | $11,860 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $72,412 | $36,206 | — | 5.1x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $52,054 | $26,027 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,573 | $16,787 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $49,240 | $24,620 | — | 5x |
| DYSEQUILIBRIUM | 149 | $24,636 | $12,318 | — | 5x |
Showing 50 of 89 procedures
How UNITYPOINT HEALTH - MERITER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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