UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
MADISON, WI 53792 · Acute Care Hospitals
214 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
214
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.1x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Government - Hospital District or Authority
Above 90th Percentile
0%
Compared to WI hospitals
Understanding Your Costs
When you receive a bill from UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY lists chargemaster rates that average 5.1x the corresponding Medicare reimbursement amount across 214 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in WI has a chargemaster-to-Medicare ratio of 4.1x, with ratios across the state ranging from 1.4x to 7.3x. At 5.1x, this facility’s average ratio is above the state median. 63 hospitals in WI report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $268,651, while Medicare reimburses $16,669 for the same procedure — a ratio of 16.1x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 214 procedures (0%) at this facility have listed rates above the 90th percentile compared to other WI hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY is a government - hospital district or authority acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $268,651 | $16,669 | 16.1x | 0th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $315,372 | $26,671 | 11.8x | 1th | Compare your bill |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $140,250 | $14,559 | 9.6x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $59,309 | $7,159 | 8.3x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $48,485 | $5,880 | 8.3x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $327,189 | $41,043 | 8.0x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $69,066 | $8,766 | 7.9x | 1th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $55,621 | $7,090 | 7.8x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $95,949 | $12,854 | 7.5x | 1th | Compare your bill |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $46,991 | $6,382 | 7.4x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,885 | $6,360 | 7.2x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $79,433 | $11,121 | 7.1x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $103,751 | $15,079 | 6.9x | 1th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $161,932 | $23,661 | 6.8x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $84,942 | $12,546 | 6.8x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $40,697 | $6,018 | 6.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $34,960 | $5,195 | 6.7x | 1th | Compare your bill |
| PNEUMOTHORAX WITH MCC | 199 | $108,287 | $16,142 | 6.7x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $27,006 | $4,046 | 6.7x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $57,882 | $8,829 | 6.6x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $91,658 | $14,081 | 6.5x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $55,475 | $8,562 | 6.5x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITH MCC | 535 | $75,055 | $11,641 | 6.5x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $40,511 | $6,318 | 6.4x | 1th | Compare your bill |
| LUNG TRANSPLANT | 007 | $918,876 | $143,682 | 6.4x | 0th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $43,744 | $6,882 | 6.4x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $101,954 | $16,086 | 6.3x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $236,893 | $37,454 | 6.3x | 1th | Compare your bill |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $37,768 | $5,984 | 6.3x | 0th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,739 | $5,584 | 6.2x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $44,431 | $7,147 | 6.2x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,033 | $5,808 | 6.2x | 1th | Compare your bill |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $706,334 | $115,018 | 6.1x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $183,237 | $29,950 | 6.1x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $70,909 | $11,650 | 6.1x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $154,405 | $25,411 | 6.1x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $70,856 | $11,666 | 6.1x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $113,189 | $18,650 | 6.1x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $53,827 | $8,862 | 6.1x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $95,038 | $15,723 | 6.0x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $69,115 | $11,544 | 6.0x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,317 | $4,411 | 6.0x | 1th | Compare your bill |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $76,712 | $12,861 | 6.0x | 0th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 562 | $98,387 | $16,590 | 5.9x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | 356 | $206,148 | $34,793 | 5.9x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $82,891 | $14,150 | 5.9x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $128,072 | $21,875 | 5.8x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $77,728 | $13,278 | 5.8x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $54,971 | $9,434 | 5.8x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $80,762 | $13,870 | 5.8x | 1th | Compare your bill |
Showing 50 of 214 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across WI hospitals
63 hospitals in WI report pricing data to CMS. This facility's average ratio of 5.1x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY
How much does UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY charge compared to Medicare?
According to CMS IPPS data, UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY's listed chargemaster rates average 5.1x the Medicare reimbursement amount across 214 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY?
The procedure with the highest chargemaster-to-Medicare ratio at UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $268,651 compared to Medicare reimbursement of $16,669 — a ratio of 16.1x. Source: CMS IPPS Provider Summary.
Is UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY expensive compared to other WI hospitals?
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY's average chargemaster-to-Medicare ratio is 5.1x. Ratios vary significantly across WI hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY in MADISON, WI accept Medicare?
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.