The Price of Medicare Procedures in Wisconsin



This table shows the 100 most frequently charged procedures/diagnosis in Wisconsin to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Wisconsin 196 $20171 $5772 $14399
Acute Myocardial Infarction Discharged Alive With Complications
 Wisconsin 517 $23671 $7955 $15716
Acute Myocardial Infarction Discharged Alive With Major Complications
 Wisconsin 878 $31018 $11850 $19168
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Wisconsin 873 $11222 $4372 $6850
Atherosclerosis No Major Complications
 Wisconsin 189 $12601 $3884 $8717
Back And Neck Proc Exc Spinal Fusion No Complications
 Wisconsin 489 $22763 $6704 $16059
Bronchitis And Asthma No Complications
 Wisconsin 93 $12492 $4288 $8204
Bronchitis And Asthma With Complications
 Wisconsin 338 $16495 $6189 $10306
Cardiac Arrhythmia And Conduction Disorders No Complications
 Wisconsin 1542 $11302 $3866 $7436
Cardiac Arrhythmia And Conduction Disorders With Complications
 Wisconsin 1593 $16134 $5674 $10460
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Wisconsin 948 $23140 $8548 $14592
Cellulitis No Major Complications
 Wisconsin 2188 $15155 $5592 $9563
Cellulitis With Major Complications
 Wisconsin 250 $29270 $11161 $18109
Cervical Spinal Fusion No Complications
 Wisconsin 206 $44868 $15478 $29390
Chest Pain
 Wisconsin 1251 $12509 $3821 $8688
Chronic Obstructive Pulmonary Disease No Complications
 Wisconsin 964 $14058 $4831 $9227
Chronic Obstructive Pulmonary Disease With Complications
 Wisconsin 1733 $17207 $6424 $10783
Chronic Obstructive Pulmonary Disease With Major Complications
 Wisconsin 1826 $21335 $7927 $13408
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Wisconsin 1570 $27143 $7751 $19392
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Wisconsin 313 $49751 $16212 $33539
Cranial And Peripheral Nerve Disorders No Major Complications
 Wisconsin 217 $18946 $6630 $12316
Degenerative Nervous System Disorders No Major Complications
 Wisconsin 537 $17786 $6652 $11134
Diabetes With Complications
 Wisconsin 509 $17655 $6009 $11646
Disorders Of Pancreas Except Malignancy With Complications
 Wisconsin 215 $20931 $8075 $12856
Dysequilibrium
 Wisconsin 254 $14142 $4375 $9767
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Wisconsin 3372 $15607 $4974 $10633
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Wisconsin 555 $24851 $9520 $15331
Extracranial Procedures No Complications
 Wisconsin 609 $24486 $6905 $17581
Fractures Of Hip And Pelvis No Major Complications
 Wisconsin 309 $13731 $4959 $8772
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Wisconsin 322 $14936 $4909 $10027
Gi Hemorrhage No Complications
 Wisconsin 376 $14886 $4948 $9938
Gi Hemorrhage With Complications
 Wisconsin 2325 $18988 $6792 $12196
Gi Hemorrhage With Major Complications
 Wisconsin 568 $33990 $12840 $21150
Gi Obstruction No Complications
 Wisconsin 407 $13384 $4378 $9006
Gi Obstruction With Complications
 Wisconsin 710 $18327 $6464 $11863
Heart Failure And Shock No Complications
 Wisconsin 1291 $13243 $4551 $8692
Heart Failure And Shock With Complications
 Wisconsin 3629 $18193 $6800 $11393
Heart Failure And Shock With Major Complications
 Wisconsin 2397 $26198 $9958 $16240
Hip And Femur Procedures Except Major Joint No Complications
 Wisconsin 203 $32347 $10396 $21951
Hip And Femur Procedures Except Major Joint With Complications
 Wisconsin 1364 $35972 $12151 $23821
Hip And Femur Procedures Except Major Joint With Major Complications
 Wisconsin 241 $56260 $20182 $36078
Hypertension No Major Complications
 Wisconsin 146 $14306 $4203 $10103
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Wisconsin 574 $110615 $40778 $69837
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Wisconsin 767 $17646 $5553 $12093
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Wisconsin 1801 $23074 $7743 $15331
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Wisconsin 825 $35548 $13322 $22226
Kidney And Urinary Tract Infections No Major Complications
 Wisconsin 2693 $14138 $5212 $8926
Kidney And Urinary Tract Infections With Major Complications
 Wisconsin 589 $21118 $8268 $12850
Laparoscopic Cholecystectomy No Cde No Complications
 Wisconsin 124 $27215 $7914 $19301
Laparoscopic Cholecystectomy No Cde With Complications
 Wisconsin 216 $34391 $11134 $23257
Major Cardiovasc Procedures No Major Complications
 Wisconsin 604 $71608 $23009 $48599
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Wisconsin 358 $21137 $8791 $12346
Major Joint Replacement Of Lower Extremity No Major Complications
 Wisconsin 9099 $38093 $13795 $24298
Major Joint Replacement Of Lower Extremity With Major Complications
 Wisconsin 257 $64240 $22497 $41743
Major Small And Large Bowel Procedures With Complications
 Wisconsin 1037 $52360 $18325 $34035
Major Small And Large Bowel Procedures With Major Complications
 Wisconsin 580 $105331 $38676 $66655
Medical Back Problems No Major Complications
 Wisconsin 1038 $16500 $5791 $10709
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Wisconsin 2207 $13556 $4737 $8819
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Wisconsin 643 $20729 $8358 $12371
Other Circulatory System Diagnoses With Complications
 Wisconsin 211 $22326 $7874 $14452
Other Circulatory System Diagnoses With Major Complications
 Wisconsin 649 $37599 $14083 $23516
Other Digestive System Diagnoses With Complications
 Wisconsin 550 $21098 $7082 $14016
Other Kidney And Urinary Tract Diagnoses With Complications
 Wisconsin 479 $23248 $8197 $15051
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Wisconsin 452 $36399 $13437 $22962
Other Vascular Procedures No Complications
 Wisconsin 249 $41285 $11601 $29684
Other Vascular Procedures With Complications
 Wisconsin 598 $62191 $18208 $43983
Other Vascular Procedures With Major Complications
 Wisconsin 350 $72312 $25453 $46859
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Wisconsin 417 $55883 $14637 $41246
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Wisconsin 1640 $51319 $14028 $37291
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Wisconsin 425 $72584 $22665 $49919
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Wisconsin 523 $46822 $13190 $33632
Peripheral Vascular Disorders No Complications
 Wisconsin 53 $16452 $4615 $11837
Peripheral Vascular Disorders With Complications
 Wisconsin 359 $18708 $6819 $11889
Permanent Cardiac Pacemaker Implant No Complications
 Wisconsin 338 $41210 $13958 $27252
Permanent Cardiac Pacemaker Implant With Complications
 Wisconsin 507 $53617 $18546 $35071
Poisoning And Toxic Effects Of Drugs No Major Complications
 Wisconsin 418 $13754 $4400 $9354
Poisoning And Toxic Effects Of Drugs With Major Complications
 Wisconsin 231 $31581 $11133 $20448
Psychoses
 Wisconsin 2472 $12777 $6124 $6653
Pulmonary Edema And Respiratory Failure
 Wisconsin 1271 $23176 $8590 $14586
Pulmonary Embolism No Major Complications
 Wisconsin 684 $18938 $7246 $11692
Red Blood Cell Disorders No Major Complications
 Wisconsin 873 $15943 $5594 $10349
Red Blood Cell Disorders With Major Complications
 Wisconsin 158 $28398 $9453 $18945
Renal Failure No Complications
 Wisconsin 196 $12502 $4424 $8078
Renal Failure With Complications
 Wisconsin 2319 $18346 $6871 $11475
Renal Failure With Major Complications
 Wisconsin 1255 $29909 $11293 $18616
Respiratory Infections And Inflammations With Complications
 Wisconsin 950 $24048 $9918 $14130
Respiratory Infections And Inflammations With Major Complications
 Wisconsin 869 $35760 $13569 $22191
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Wisconsin 174 $131760 $42794 $88966
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Wisconsin 679 $49203 $17345 $31858
Seizures No Major Complications
 Wisconsin 497 $17235 $5613 $11622
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Wisconsin 2023 $20456 $7598 $12858
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Wisconsin 4887 $34272 $13072 $21200
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Wisconsin 119 $132193 $46809 $85384
Signs And Symptoms No Major Complications
 Wisconsin 1069 $15001 $4781 $10220
Simple Pneumonia And Pleurisy No Complications
 Wisconsin 1080 $13772 $4784 $8988
Simple Pneumonia And Pleurisy With Complications
 Wisconsin 3245 $18127 $6684 $11443
Simple Pneumonia And Pleurisy With Major Complications
 Wisconsin 1836 $26905 $9736 $17169
Spinal Fusion Except Cervical No Major Complications
 Wisconsin 805 $73718 $28680 $45038
Syncope And Collapse
 Wisconsin 1370 $15566 $4906 $10660
Transient Ischemia
 Wisconsin 863 $17716 $4975 $12741


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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