Wisconsin / Aspirus Wisconsin Rapids Hospital
CMS certification 520033 · Wisconsin Rapids, WI
Aspirus Wisconsin Rapids Hospital: charges and Medicare payments
Aspirus Wisconsin Rapids Hospital reported 233 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.58 times what it was paid — among the lower ratios in Wisconsin, number 47 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: 70 stays at an average charge of $40,626, 55% below the national average. It also billed 423 outpatient services, charging 6.4 times what Medicare paid.
- 1Medicare inpatient stays 233
- 2Charge ÷ paid, inpatient 2.58×
- 3Rank in WI (highest ratio = 1) 47 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Aspirus Wisconsin Rapids 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 | 70 | $40,626 | -55% | $17,164 |
| 291 Heart Failure and Shock with MCC | 38 | $31,099 | -45% | $10,962 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $27,602 | -52% | $13,427 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $28,404 | -52% | $11,300 |
| 683 Renal Failure with CC | 15 | $19,607 | -52% | $7,734 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $38,692 | -47% | $14,031 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $26,762 | -45% | $8,858 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $33,973 | -39% | $8,675 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $50,919 | -50% | $17,870 |
| 682 Renal Failure with MCC | 11 | $43,529 | -34% | $13,095 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 114 | $6,043 | $2,085 |
| Comprehensive Observation Services | 82 | $15,996 | $2,425 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 61 | $9,563 | $1,360 |
| Level 1 Nerve Procedures | 35 | $8,055 | $1,630 |
| Level 3 Vascular Procedures | 30 | $13,326 | $2,776 |
| Level 2 Upper GI Procedures | 25 | $10,510 | $1,648 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 22 | $17,150 | $3,096 |
| Level 1 Laparoscopy and Related Services | 20 | $18,822 | $5,163 |
| Level 4 Musculoskeletal Procedures | 18 | $32,833 | $6,118 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $20,057 | $2,543 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aspirus Wisconsin Rapids Hospital charged $40,626 on average, 32% less than the Wisconsin average of $59,481, and was paid $17,164 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aspirus Wisconsin Rapids Hospital charged $31,099 on average, 21% less than the Wisconsin average of $39,564, and was paid $10,962 against a state average of $10,862. For Pulmonary Edema and Respiratory Failure (DRG 189), Aspirus Wisconsin Rapids Hospital charged $27,602 on average, 32% less than the Wisconsin average of $40,535, and was paid $13,427 against a state average of $10,823. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Aspirus Wisconsin Rapids Hospital charged $28,404 on average, 29% less than the Wisconsin average of $40,070, and was paid $11,300 against a state average of $11,231. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,043 was 47% below the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,996 was 10% below the state average of $17,717. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,563 was 7% above the state average of $8,908. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,055 was 14% below the state average of $9,348.
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.