38/100
#1,651 nationally
Mercy Health System Corp
1000 Mineral Point Ave, Janesville, WI 53547 · (608) 756-6161
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Mercy Health System Corp billed $5.69 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 67
- inpatient and outpatient combined
- Rank in WI
- #58
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 29% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 45% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
494 | $14,588 | $2,106 | +24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
269 | $24,526 | $2,447 | +26% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
173 | $9,676 | $1,716 | -18% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
157 | $8,181 | $1,445 | -19% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
99 | $1,957 | $613 | -38% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
95 | $30,946 | $2,951 | +23% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
83 | $15,723 | $2,786 | -23% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
82 | $4,347 | $1,840 | -66% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
81 | $83,890 | $15,980 | +29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
77 | $48,496 | $10,359 | +12% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$125,492 | $19,687 | +60% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$31,511 | $3,176 | +53% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$45,161 | $7,033 | +52% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
$56,243 | $8,001 | +51% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$48,782 | $8,417 | +48% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$59,811 | $9,137 | +47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$66,593 | $13,609 | +43% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$63,220 | $9,229 | +39% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$4,347 | $1,840 | -66% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$4,453 | $1,505 | -61% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$5,661 | $1,456 | -50% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,957 | $613 | -38% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,488 | $1,416 | -36% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$7,923 | $1,759 | -30% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$13,638 | $2,547 | -23% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$15,723 | $2,786 | -23% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.