Wisconsin / Aurora Medical Center Burlington
CMS certification 520059 · Burlington, WI
Aurora Medical Center Burlington: charges and Medicare payments
Aurora Medical Center Burlington reported 322 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.12 times what it was paid — among the higher ratios in Wisconsin, number 17 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: 89 stays at an average charge of $54,309, 40% below the national average. It also billed 1,629 outpatient services, charging 7.7 times what Medicare paid.
- 1Medicare inpatient stays 322
- 2Charge ÷ paid, inpatient 4.12×
- 3Rank in WI (highest ratio = 1) 17 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Aurora Medical Center Burlington 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 | 89 | $54,309 | -40% | $14,328 |
| 291 Heart Failure and Shock with MCC | 69 | $40,194 | -29% | $9,158 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $40,613 | -16% | $7,357 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $31,284 | -48% | $9,546 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $32,268 | -34% | $8,448 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $41,506 | -28% | $9,913 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $48,872 | -33% | $11,268 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $32,011 | -20% | $5,961 |
| 394 Other Digestive System Diagnoses with CC | 13 | $34,733 | -26% | $7,747 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $28,777 | -24% | $6,173 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $29,712 | -18% | $5,669 |
| 682 Renal Failure with MCC | 11 | $34,076 | -48% | $9,755 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Center Burlington charged $54,309 on average, 9% less than the Wisconsin average of $59,481, and was paid $14,328 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Center Burlington charged $40,194 on average, 2% more than the Wisconsin average of $39,564, and was paid $9,158 against a state average of $10,862. For Gastrointestinal Hemorrhage with CC (DRG 378), Aurora Medical Center Burlington charged $40,613 on average, 22% more than the Wisconsin average of $33,159, and was paid $7,357 against a state average of $8,357. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Aurora Medical Center Burlington charged $31,284 on average, 22% less than the Wisconsin average of $40,070, and was paid $9,546 against a state average of $11,231. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,531 was 44% above the state average of $11,485. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,359 was 0% below the state average of $9,348. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,841 was 1% below the state average of $8,908. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,376 was 4% 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.