Wisconsin / Aurora Medical Center
CMS certification 520207 · Grafton, WI · 1 entry in CMS's price-transparency list
Aurora Medical Center: charges and Medicare payments
Aurora Medical Center reported 1,251 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 4.71 times what it was paid — among the higher ratios in Wisconsin, number 6 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: 235 stays at an average charge of $52,794, 42% below the national average. It also billed 2,153 outpatient services, charging 7.89 times what Medicare paid.
- 1Medicare inpatient stays 1,251
- 2Charge ÷ paid, inpatient 4.71×
- 3Rank in WI (highest ratio = 1) 6 of 55
- 4CMS price-transparency actions 1
Inpatient stays
For the 46 DRGs that can be compared with the national average, Aurora Medical Center charged more than the national average in 3 (7%). 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 | 235 | $52,794 | -42% | $13,713 |
| 291 Heart Failure and Shock with MCC | 92 | $45,459 | -19% | $8,710 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $39,494 | -19% | $7,459 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $58,589 | -17% | $12,141 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $41,454 | -31% | $8,963 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $133,095 | -42% | $34,758 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $30,037 | -25% | $5,452 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 30 | $162,733 | +4% | $22,179 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $41,971 | -30% | $9,308 |
| 312 Syncope and Collapse | 29 | $35,178 | -23% | $6,405 |
| 552 Medical Back Problems without MCC | 28 | $33,009 | -32% | $7,504 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $28,926 | -24% | $5,528 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $47,280 | -36% | $10,476 |
| 683 Renal Failure with CC | 25 | $33,878 | -17% | $6,794 |
| 603 Cellulitis without MCC | 24 | $34,662 | -7% | $6,039 |
| 682 Renal Failure with MCC | 24 | $43,763 | -34% | $11,100 |
| 330 Major Small and Large Bowel Procedures with CC | 23 | $81,309 | -32% | $17,621 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $44,661 | -8% | $7,457 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $33,869 | -9% | $5,343 |
| 884 Organic Disturbances and Intellectual Disability | 23 | $39,235 | -37% | $10,101 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $25,271 | -30% | $5,533 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $96,436 | -16% | $13,696 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $81,888 | -19% | $16,133 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $42,174 | -18% | $8,014 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $56,168 | -26% | $12,066 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $95,081 | +2% | $13,880 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 18 | $121,751 | -42% | $30,413 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $23,505 | -18% | $4,313 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $38,724 | -33% | $9,127 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $42,951 | -23% | $8,442 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $110,372 | -33% | $19,761 |
| 389 Gastrointestinal Obstruction with CC | 15 | $33,865 | -13% | $6,380 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $29,892 | -41% | $7,720 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $55,852 | -8% | $8,916 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $106,506 | +4% | $14,283 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $60,264 | -40% | $13,654 |
| 252 Other Vascular Procedures with MCC | 13 | $104,874 | -39% | $23,361 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $81,218 | -28% | $16,116 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 12 | $167,732 | -43% | $47,106 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $71,815 | -16% | $14,509 |
| 394 Other Digestive System Diagnoses with CC | 12 | $34,008 | -28% | $6,559 |
| 164 Major Chest Procedures with CC | 11 | $73,610 | -42% | $23,819 |
| 165 Major Chest Procedures without CC/MCC | 11 | $71,657 | -31% | $12,725 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $41,161 | -27% | $9,892 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $54,243 | -20% | $8,770 |
| 813 Coagulation Disorders | 11 | $45,523 | -43% | $10,833 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Center charged $52,794 on average, 11% less than the Wisconsin average of $59,481, and was paid $13,713 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Center charged $45,459 on average, 15% more than the Wisconsin average of $39,564, and was paid $8,710 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Center charged $39,494 on average, 16% more than the Wisconsin average of $34,158, and was paid $7,459 against a state average of $8,925. For Respiratory Infections and Inflammations with MCC (DRG 177), Aurora Medical Center charged $58,589 on average, 13% more than the Wisconsin average of $52,035, and was paid $12,141 against a state average of $14,345. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,325 was 9% above the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $76,185 was 52% above the state average of $50,282. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,964 was 12% above the state average of $8,908. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,320 was 28% above the state average of $23,760.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Aurora Medical Center in Grafton, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-24 (CMS case 5330)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.