Wisconsin / Aurora Baycare Medical Ctr

CMS certification 520193 · Green Bay, WI

Aurora Baycare Medical Ctr: charges and Medicare payments

Aurora Baycare Medical Ctr reported 853 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 4.02 times what it was paid — among the higher ratios in Wisconsin, number 18 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: 214 stays at an average charge of $55,865, 38% below the national average. It also billed 3,644 outpatient services, charging 6.02 times what Medicare paid.

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  1. 1Medicare inpatient stays 853
  2. 2Charge ÷ paid, inpatient 4.02×
  3. 3Rank in WI (highest ratio = 1) 18 of 55
  4. 4CMS price-transparency actions 0
DRG 871$55,865DRG 291$43,694DRG 872$34,334DRG 065$42,411DRG 853$129,116DRG 378$30,289DRG 064$56,677DRG 377$60,512DRG 698$55,244DRG 309$27,106
Average charge per stay at Aurora Baycare Medical Ctr, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 32 DRGs that can be compared with the national average, Aurora Baycare Medical Ctr charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC214$55,865-38%$14,913
291 Heart Failure and Shock with MCC60$43,694-23%$9,349
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC40$34,334-30%$7,515
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...35$42,411-24%$8,022
853 Infectious and Parasitic Diseases with O.R. Procedures with...33$129,116-44%$36,303
378 Gastrointestinal Hemorrhage with CC32$30,289-38%$7,257
064 Intracranial Hemorrhage or Cerebral Infarction with MCC28$56,677-43%$14,106
377 Gastrointestinal Hemorrhage with MCC28$60,512-29%$15,073
698 Other Kidney and Urinary Tract Diagnoses with MCC25$55,244-25%$11,341
309 Cardiac Arrhythmia and Conduction Disorders with CC24$27,106-25%$6,104
813 Coagulation Disorders23$42,025-48%$11,274
177 Respiratory Infections and Inflammations with MCC20$57,593-18%$17,352
280 Acute Myocardial Infarction, Discharged Alive with MCC20$50,143-34%$19,281
467 Revision of Hip or Knee Replacement with CC20$92,249-42%$25,963
025 Craniotomy and Endovascular Intracranial Procedures with MCC19$118,420-49%$32,940
274 Percutaneous and Other Intracardiac Procedures without MCC19$130,463-17%$27,031
683 Renal Failure with CC18$31,692-22%$7,257
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$26,633-28%$5,931
682 Renal Failure with MCC17$47,082-29%$10,867
100 Seizures with MCC14$68,149-28%$14,879
321 Percutaneous Cardiovascular Procedures with Intraluminal...14$103,873-37%$23,131
322 Percutaneous Cardiovascular Procedures with Intraluminal...14$71,115-38%$13,033
101 Seizures without MCC13$30,030-38%$6,704
689 Kidney and Urinary Tract Infections with MCC13$40,630-21%$8,522
189 Pulmonary Edema and Respiratory Failure12$53,543-7%$9,088
193 Simple Pneumonia and Pleurisy with MCC12$34,919-42%$9,297
312 Syncope and Collapse12$31,720-30%$6,503
472 Cervical Spinal Fusion with CC12$73,819-48%$20,707
481 Hip and Femur Procedures except Major Joint with CC12$65,514-35%$14,786
281 Acute Myocardial Infarction, Discharged Alive with CC11$33,921-33%$6,751
308 Cardiac Arrhythmia and Conduction Disorders with MCC11$30,717-46%$8,821
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$36,808-8%$5,969

Outpatient services

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Baycare Medical Ctr charged $55,865 on average, 6% less than the Wisconsin average of $59,481, and was paid $14,913 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Baycare Medical Ctr charged $43,694 on average, 10% more than the Wisconsin average of $39,564, and was paid $9,349 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Baycare Medical Ctr charged $34,334 on average, 1% more than the Wisconsin average of $34,158, and was paid $7,515 against a state average of $8,925. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Aurora Baycare Medical Ctr charged $42,411 on average, 3% more than the Wisconsin average of $40,982, and was paid $8,022 against a state average of $8,801. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,062 was 21% below the state average of $11,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,254 was 12% below the state average of $50,282. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,771 was 1% above the state average of $11,645. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,417 was 10% above the state average of $17,717.

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.