61/100
#934 nationally
The Monroe Clinic
515 22Nd Ave, Monroe, WI 53566 · (608) 324-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, The Monroe Clinic billed $4.37 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
- 42
- inpatient and outpatient combined
- Rank in WI
- #34
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 66% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 63% 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 |
327 | $13,348 | $2,175 | +14% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
210 | $16,945 | $2,555 | -13% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
190 | $1,913 | $638 | -39% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
150 | $5,593 | $1,465 | -45% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
77 | $6,726 | $1,901 | -48% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
72 | $53,593 | $16,063 | -18% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
54 | $34,362 | $4,830 | +25% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
53 | $33,568 | $5,305 | -4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
51 | $32,361 | $11,159 | -25% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
51 | $14,392 | $1,774 | +27% |
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 |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,392 | $1,774 | +27% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$34,362 | $4,830 | +25% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$22,809 | $2,976 | +19% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$24,281 | $3,254 | +18% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$13,080 | $1,500 | +16% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,348 | $2,175 | +14% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$28,529 | $3,047 | +13% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$18,502 | $2,527 | +12% |
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 |
$6,726 | $1,901 | -48% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$9,376 | $2,653 | -47% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$95,621 | $36,678 | -46% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,593 | $1,465 | -45% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,913 | $638 | -39% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$38,868 | $12,810 | -37% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$16,668 | $4,879 | -31% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$37,927 | $14,031 | -31% |
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.