Wisconsin / Ascension NE Wisconsin - St Elizabeth Campus
CMS certification 520009 · Appleton, WI
Ascension NE Wisconsin - St Elizabeth Campus: charges and Medicare payments
Ascension NE Wisconsin - St Elizabeth Campus reported 665 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 2.72 times what it was paid — among the lower ratios in Wisconsin, number 43 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 81 stays at an average charge of $20,282, 64% below the national average. It also billed 1,216 outpatient services, charging 6.55 times what Medicare paid.
- 1Medicare inpatient stays 665
- 2Charge ÷ paid, inpatient 2.72×
- 3Rank in WI (highest ratio = 1) 43 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 28 DRGs that can be compared with the national average, Ascension NE Wisconsin - St Elizabeth Campus charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 81 | $20,282 | -64% | $9,574 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 73 | $35,086 | -61% | $14,601 |
| 885 Psychoses | 57 | $13,054 | -70% | $10,586 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 35 | $100,012 | -36% | $23,490 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $26,236 | -56% | $9,963 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $35,985 | -49% | $12,962 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $11,663 | -68% | $6,459 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $28,650 | -62% | $12,040 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $18,692 | -62% | $8,422 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $13,152 | -65% | $6,669 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $24,175 | -57% | $7,766 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $9,133 | -68% | $4,788 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $19,598 | -48% | $6,559 |
| 683 Renal Failure with CC | 18 | $16,230 | -60% | $7,057 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $25,317 | -48% | $7,901 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $26,499 | -64% | $11,845 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $19,244 | -67% | $9,639 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $95,225 | -17% | $15,402 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $17,622 | -66% | $8,838 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $31,716 | -68% | $11,993 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $14,558 | -62% | $6,692 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 13 | $150,669 | -47% | $44,451 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 13 | $129,559 | -41% | $35,062 |
| 682 Renal Failure with MCC | 13 | $35,179 | -47% | $12,530 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 13 | $11,123 | -67% | $11,968 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $36,200 | -58% | $11,166 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $14,168 | -65% | $6,452 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $17,603 | -63% | $9,342 |
Outpatient services
Against the Wisconsin average
For Heart Failure and Shock with MCC (DRG 291), Ascension NE Wisconsin - St Elizabeth Campus charged $20,282 on average, 49% less than the Wisconsin average of $39,564, and was paid $9,574 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension NE Wisconsin - St Elizabeth Campus charged $35,086 on average, 41% less than the Wisconsin average of $59,481, and was paid $14,601 against a state average of $16,719. For Psychoses (DRG 885), Ascension NE Wisconsin - St Elizabeth Campus charged $13,054 on average, 53% less than the Wisconsin average of $27,914, and was paid $10,586 against a state average of $12,682. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Ascension NE Wisconsin - St Elizabeth Campus charged $100,012 on average, 7% less than the Wisconsin average of $107,338, and was paid $23,490 against a state average of $25,143. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,956 was 48% below the state average of $11,485. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,274 was 6% below the state average of $23,760. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,056 was 32% below the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,261 was 24% below the state average of $50,282.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.