Wisconsin / Aspirus Stevens Point Hospital
CMS certification 520002 · Stevens Point, WI
Aspirus Stevens Point Hospital: charges and Medicare payments
Aspirus Stevens Point Hospital reported 409 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 2.86 times what it was paid — among the lower ratios in Wisconsin, number 41 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 76 stays at an average charge of $40,668, 55% below the national average. It also billed 722 outpatient services, charging 4.7 times what Medicare paid.
- 1Medicare inpatient stays 409
- 2Charge ÷ paid, inpatient 2.86×
- 3Rank in WI (highest ratio = 1) 41 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 18 DRGs that can be compared with the national average, Aspirus Stevens Point 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 76 | $40,668 | -55% | $14,648 |
| 291 Heart Failure and Shock with MCC | 60 | $28,104 | -50% | $9,967 |
| 885 Psychoses | 25 | $17,319 | -61% | $11,000 |
| 683 Renal Failure with CC | 22 | $23,738 | -42% | $7,669 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $24,922 | -49% | $8,063 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $29,316 | -58% | $11,732 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $52,280 | -29% | $11,787 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $27,996 | -51% | $9,664 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $24,138 | -50% | $8,155 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $27,034 | -64% | $10,741 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $22,929 | -37% | $7,017 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $27,961 | -53% | $10,092 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $22,490 | -44% | $6,596 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $34,426 | -38% | $8,121 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $44,450 | -56% | $15,148 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $16,906 | -55% | $6,726 |
| 682 Renal Failure with MCC | 12 | $36,446 | -45% | $11,620 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $30,866 | -40% | $13,797 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 266 | $7,799 | $2,048 |
| Comprehensive Observation Services | 66 | $15,265 | $2,401 |
| Level 4 Urology and Related Services | 44 | $14,238 | $3,063 |
| Level 5 Musculoskeletal Procedures | 43 | $38,513 | $11,292 |
| Level 1 Laparoscopy and Related Services | 37 | $21,007 | $4,941 |
| Level 2 Pacemaker and Similar Procedures | 32 | $11,233 | $7,602 |
| Level 5 Urology and Related Services | 28 | $16,564 | $4,630 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $8,688 | $1,365 |
| Level 3 Urology and Related Services | 27 | $11,550 | $1,823 |
| Level 3 Pacemaker and Similar Procedures | 22 | $22,265 | $9,549 |
| Level 3 Vascular Procedures | 21 | $17,125 | $2,852 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $19,734 | $2,543 |
| Level 6 Musculoskeletal Procedures | 17 | $52,027 | $16,640 |
| Level 2 Upper GI Procedures | 17 | $9,110 | $1,703 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 17 | $15,051 | $2,951 |
| Level 4 Musculoskeletal Procedures | 15 | $29,784 | $6,401 |
| Level 1 Endovascular Procedures | 13 | $12,568 | $2,920 |
| Level 2 Musculoskeletal Procedures | 12 | $8,477 | $1,438 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aspirus Stevens Point Hospital charged $40,668 on average, 32% less than the Wisconsin average of $59,481, and was paid $14,648 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aspirus Stevens Point Hospital charged $28,104 on average, 29% less than the Wisconsin average of $39,564, and was paid $9,967 against a state average of $10,862. For Psychoses (DRG 885), Aspirus Stevens Point Hospital charged $17,319 on average, 38% less than the Wisconsin average of $27,914, and was paid $11,000 against a state average of $12,682. For Renal Failure with CC (DRG 683), Aspirus Stevens Point Hospital charged $23,738 on average, 19% less than the Wisconsin average of $29,178, and was paid $7,669 against a state average of $7,996. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,799 was 32% below the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,265 was 14% below the state average of $17,717. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $14,238 was 22% below the state average of $18,304. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,513 was 23% 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.