60/100
#969 nationally
Ssm Health St Mary's Hospital - Madison
700 South Park St, Madison, WI 53715 · (608) 251-6100
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Ssm Health St Mary's Hospital - Madison billed $4.40 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
- 4.4x
- volume-weighted across all its priced work
- Procedures priced
- 182
- inpatient and outpatient combined
- Rank in WI
- #38
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 44% of U.S. hospitals.
Better than 72% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 83% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
616 | $20,966 | $2,522 | +8% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
558 | $24,914 | $3,035 | about average |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
384 | $67,914 | $15,465 | +4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
305 | $41,890 | $12,129 | -33% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
292 | $20,663 | $4,817 | -25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
265 | $42,076 | $9,864 | -3% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
208 | $42,629 | $10,220 | -37% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
203 | $10,137 | $1,513 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
157 | $15,515 | $3,238 | -25% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
153 | $27,566 | $6,600 | -31% |
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 |
|---|---|---|---|
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
$87,730 | $13,708 | +28% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
$26,336 | $4,692 | +20% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$40,836 | $5,429 | +14% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$50,298 | $8,201 | +13% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$35,829 | $7,245 | +13% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,966 | $2,522 | +8% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$91,758 | $19,477 | +7% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$85,349 | $16,139 | +6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
$64,057 | $21,524 | -53% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$11,674 | $3,230 | -50% |
|
Kidney and Ureter Procedures for Neoplasm without Complications/mcc
MS-DRG 658 · Inpatient stay |
$39,753 | $11,423 | -48% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$45,742 | $14,714 | -43% |
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay |
$56,860 | $18,634 | -42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$11,077 | $2,934 | -42% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$43,229 | $13,328 | -42% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$40,374 | $12,348 | -40% |
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.