82/100
#310 nationally
Thedacare Regional Medical Center - Appleton Inc
1818 N Meade St, Appleton, WI 54911 · (920) 731-4101
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Thedacare Regional Medical Center - Appleton Inc billed $3.14 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
- 3.1x
- volume-weighted across all its priced work
- Procedures priced
- 72
- inpatient and outpatient combined
- Rank in WI
- #6
- 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 80% of U.S. hospitals.
Better than 88% of U.S. hospitals.
Better than 84% of U.S. hospitals.
Better than 71% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
220 | $24,979 | $11,568 | -60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
176 | $11,505 | $2,784 | -40% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
130 | $8,883 | $1,740 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
124 | $34,356 | $14,707 | -47% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
108 | $28,092 | $6,210 | -30% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
89 | $15,670 | $2,894 | -38% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
84 | $32,733 | $16,403 | -61% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
83 | $21,491 | $5,150 | -39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
81 | $8,296 | $1,698 | -29% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
74 | $11,628 | $2,729 | -43% |
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 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$50,780 | $6,169 | +32% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$142,298 | $26,895 | +26% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$29,160 | $5,137 | about average |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$19,974 | $3,452 | -9% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$22,413 | $6,015 | -14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,587 | $1,444 | -15% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$42,249 | $9,617 | -18% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,200 | $2,531 | -20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$33,499 | $22,548 | -75% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,064 | $616 | -66% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$62,750 | $31,573 | -65% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
$55,697 | $29,476 | -63% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$11,474 | $6,225 | -63% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$33,460 | $16,390 | -62% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$32,733 | $16,403 | -61% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$24,979 | $11,568 | -60% |
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.