Wisconsin / Aspirus Rhinelander Hospital
CMS certification 520019 · Rhinelander, WI
Aspirus Rhinelander Hospital: charges and Medicare payments
Aspirus Rhinelander Hospital reported 242 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.79 times what it was paid — among the lower ratios in Wisconsin, number 42 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 48 stays at an average charge of $22,577, 49% below the national average. It also billed 828 outpatient services, charging 4.6 times what Medicare paid.
- 1Medicare inpatient stays 242
- 2Charge ÷ paid, inpatient 2.79×
- 3Rank in WI (highest ratio = 1) 42 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Aspirus Rhinelander Hospital 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 |
|---|---|---|---|---|
| 885 Psychoses | 48 | $22,577 | -49% | $12,230 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 40 | $54,674 | -39% | $17,446 |
| 291 Heart Failure and Shock with MCC | 38 | $38,191 | -32% | $12,619 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $49,140 | -51% | $18,220 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $38,163 | -34% | $10,782 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $47,816 | -37% | $15,605 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $44,295 | -26% | $14,322 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $33,446 | -53% | $14,471 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $22,290 | -45% | $6,831 |
| 813 Coagulation Disorders | 11 | $37,235 | -54% | $13,479 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 316 | $7,460 | $2,205 |
| Level 1 Nerve Procedures | 110 | $5,789 | $1,837 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 73 | $10,471 | $1,486 |
| Level 5 Musculoskeletal Procedures | 59 | $44,539 | $12,594 |
| Level 2 Musculoskeletal Procedures | 40 | $7,011 | $1,540 |
| Level 1 Laparoscopy and Related Services | 27 | $24,291 | $5,530 |
| Level 3 Vascular Procedures | 26 | $12,235 | $2,996 |
| Comprehensive Observation Services | 24 | $16,032 | $2,536 |
| Level 2 Upper GI Procedures | 23 | $9,637 | $1,760 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 21 | $15,467 | $3,316 |
| Level 4 Musculoskeletal Procedures | 20 | $21,531 | $6,856 |
| Level 2 Vascular Procedures | 18 | $4,032 | $1,467 |
| Level 4 Gynecologic Procedures | 17 | $14,694 | $2,908 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 15 | $7,555 | $2,239 |
| Level 3 Musculoskeletal Procedures | 14 | $12,558 | $3,102 |
| Level 6 Musculoskeletal Procedures | 13 | $45,934 | $17,819 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $20,823 | $2,542 |
Against the Wisconsin average
For Psychoses (DRG 885), Aspirus Rhinelander Hospital charged $22,577 on average, 19% less than the Wisconsin average of $27,914, and was paid $12,230 against a state average of $12,682. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aspirus Rhinelander Hospital charged $54,674 on average, 8% less than the Wisconsin average of $59,481, and was paid $17,446 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aspirus Rhinelander Hospital charged $38,191 on average, 3% less than the Wisconsin average of $39,564, and was paid $12,619 against a state average of $10,862. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Aspirus Rhinelander Hospital charged $49,140 on average, 31% less than the Wisconsin average of $71,020, and was paid $18,220 against a state average of $17,026. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,460 was 35% below the state average of $11,485. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $5,789 was 38% below the state average of $9,348. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,471 was 18% above the state average of $8,908. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,539 was 11% 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.