42/100
#1,545 nationally
Waukesha Memorial Hospital
725 American Ave, Waukesha, WI 53188 · (262) 928-1000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Waukesha Memorial Hospital billed $5.51 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
- 5.5x
- volume-weighted across all its priced work
- Procedures priced
- 104
- inpatient and outpatient combined
- Rank in WI
- #55
- 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 35% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 48% 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 |
644 | $17,590 | $2,464 | -9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
224 | $56,812 | $13,037 | -13% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
220 | $5,125 | $611 | +63% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
187 | $12,447 | $1,454 | +23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
164 | $37,546 | $8,665 | -14% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
153 | $23,591 | $2,945 | -7% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
131 | $11,287 | $1,856 | -13% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
128 | $45,919 | $5,216 | +31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
125 | $20,195 | $3,156 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
117 | $34,449 | $4,682 | +25% |
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 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$168,331 | $16,941 | +103% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$42,907 | $2,984 | +85% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$5,125 | $611 | +63% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$62,528 | $6,884 | +53% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$51,974 | $5,335 | +51% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$14,959 | $1,469 | +31% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$45,919 | $5,216 | +31% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$29,521 | $3,412 | +30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$36,834 | $9,561 | -46% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$33,425 | $9,990 | -42% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$21,905 | $5,932 | -40% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$134,166 | $36,913 | -40% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$91,268 | $22,176 | -36% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$30,797 | $8,798 | -35% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$62,230 | $11,559 | -35% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$37,048 | $10,345 | -35% |
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.