Inpatient stay prices at Ssm Health St Mary's Hospital - Madison
148 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
384 | $67,914 | $15,465 | +4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
265 | $42,076 | $9,864 | -3% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
124 | $72,113 | $16,030 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
116 | $55,032 | $12,585 | about average |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
114 | $46,607 | $7,679 | about average |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
100 | $51,538 | $12,857 | -16% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
100 | $34,347 | $7,630 | -17% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
97 | $41,073 | $7,988 | +5% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
95 | $141,767 | $36,401 | -25% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
93 | $66,931 | $15,710 | -20% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
83 | $100,273 | $24,007 | -20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
80 | $44,209 | $10,557 | -5% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
79 | $66,139 | $14,537 | -35% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
76 | $156,757 | $41,515 | -12% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
73 | $32,282 | $6,202 | about average |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
63 | $67,821 | $15,859 | -21% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
61 | $38,596 | $8,224 | -7% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
58 | $50,817 | $13,740 | -29% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
57 | $192,288 | $40,075 | -18% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
56 | $89,779 | $22,257 | -38% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
55 | $30,245 | $6,748 | about average |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
52 | $68,170 | $17,866 | -32% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
50 | $26,781 | $6,309 | -12% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
49 | $77,932 | $17,974 | -23% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
49 | $30,888 | $6,393 | +4% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
48 | $145,655 | $30,050 | -21% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
48 | $37,667 | $7,099 | -14% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
47 | $30,461 | $6,976 | -8% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
46 | $41,082 | $7,351 | +5% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
45 | $63,279 | $12,527 | -23% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
44 | $47,410 | $8,651 | -13% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
43 | $119,310 | $33,201 | -38% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
43 | $42,985 | $10,599 | -21% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
43 | $45,522 | $12,082 | -14% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
43 | $55,638 | $14,368 | about average |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
42 | $76,343 | $17,026 | -5% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
42 | $38,434 | $9,854 | -21% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
41 | $89,553 | $26,244 | -31% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
41 | $37,831 | $8,709 | -7% |
|
Fainting
MS-DRG 312 · Inpatient stay |
40 | $30,822 | $6,774 | -16% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
40 | $43,231 | $9,921 | -11% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
39 | $105,372 | $23,014 | -10% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
38 | $71,917 | $17,207 | -23% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
38 | $63,062 | $17,187 | -28% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
38 | $40,374 | $12,348 | -40% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
36 | $43,407 | $10,411 | -9% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation without Major Complications
MS-DRG 234 · Inpatient stay |
36 | $192,113 | $38,285 | -13% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
36 | $38,578 | $10,329 | -31% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
35 | $257,392 | $61,720 | -23% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
35 | $56,382 | $15,352 | -32% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
32 | $186,124 | $41,637 | -19% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
32 | $34,861 | $7,451 | -6% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
32 | $39,825 | $8,703 | -23% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
32 | $43,302 | $12,714 | -13% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
31 | $40,259 | $7,060 | about average |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
30 | $46,315 | $10,014 | -10% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
30 | $30,175 | $6,958 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
29 | $59,690 | $14,316 | -25% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
28 | $43,045 | $9,366 | -9% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
28 | $30,930 | $7,331 | -20% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
26 | $38,859 | $8,089 | -14% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
26 | $246,881 | $54,349 | -20% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
26 | $26,662 | $7,712 | -29% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
26 | $26,336 | $4,692 | +20% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
25 | $50,299 | $9,994 | -11% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
24 | $25,828 | $6,225 | -17% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
23 | $38,381 | $6,204 | -7% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
23 | $87,495 | $26,501 | -37% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
23 | $87,941 | $28,853 | -39% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
23 | $43,931 | $12,619 | -36% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
22 | $46,376 | $9,267 | -13% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
22 | $197,793 | $44,481 | -18% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
22 | $72,816 | $16,607 | -7% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
21 | $50,298 | $8,201 | +13% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
21 | $34,511 | $5,850 | -12% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
21 | $135,277 | $31,004 | -18% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
21 | $144,123 | $40,066 | -20% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
21 | $54,576 | $12,751 | -27% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
20 | $65,256 | $12,887 | about average |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
20 | $51,110 | $13,420 | -28% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
20 | $95,956 | $20,515 | -15% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
20 | $193,580 | $46,263 | -20% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
19 | $58,995 | $15,984 | -40% |
|
Permanent Cardiac Pacemaker Implant without Complications/mcc
MS-DRG 244 · Inpatient stay |
19 | $54,587 | $13,811 | -28% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
19 | $40,338 | $8,072 | about average |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
19 | $52,222 | $12,554 | -19% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
19 | $28,666 | $7,103 | -17% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
18 | $43,229 | $13,328 | -42% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
18 | $35,829 | $7,245 | +13% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
18 | $105,737 | $25,500 | -27% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
18 | $36,574 | $6,812 | about average |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
18 | $64,579 | $13,829 | -15% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without
MS-DRG 544 · Inpatient stay |
18 | $28,717 | $5,934 | -8% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications
MS-DRG 982 · Inpatient stay |
18 | $83,187 | $18,763 | -21% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
17 | $40,836 | $5,429 | +14% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
17 | $85,023 | $19,366 | -24% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
17 | $88,482 | $21,959 | -21% |
|
Kidney and Ureter Procedures for Neoplasm without Complications/mcc
MS-DRG 658 · Inpatient stay |
17 | $39,753 | $11,423 | -48% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
17 | $26,861 | $6,221 | -17% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
16 | $31,268 | $8,557 | -25% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.