Wisconsin / Aurora Medical Center Summit

CMS certification 520206 · Summit, WI · 1 entry in CMS's price-transparency list

Aurora Medical Center Summit: charges and Medicare payments

Aurora Medical Center Summit reported 725 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 3.87 times what it was paid — mid-range in Wisconsin, number 21 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: 140 stays at an average charge of $45,720, 49% below the national average. It also billed 1,237 outpatient services, charging 5.82 times what Medicare paid.

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  1. 1Medicare inpatient stays 725
  2. 2Charge ÷ paid, inpatient 3.87×
  3. 3Rank in WI (highest ratio = 1) 21 of 55
  4. 4CMS price-transparency actions 1
DRG 871$45,720DRG 291$34,619DRG 872$31,925DRG 189$33,969DRG 552$24,321DRG 378$33,588DRG 481$68,561DRG 698$38,946DRG 853$100,744DRG 064$59,500
Average charge per stay at Aurora Medical Center Summit, 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 Medical Center Summit 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 MCC140$45,720-49%$13,700
291 Heart Failure and Shock with MCC67$34,619-39%$8,827
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC45$31,925-35%$9,001
189 Pulmonary Edema and Respiratory Failure37$33,969-41%$8,745
552 Medical Back Problems without MCC28$24,321-50%$7,158
378 Gastrointestinal Hemorrhage with CC26$33,588-31%$7,016
481 Hip and Femur Procedures except Major Joint with CC25$68,561-32%$15,287
698 Other Kidney and Urinary Tract Diagnoses with MCC20$38,946-47%$11,100
853 Infectious and Parasitic Diseases with O.R. Procedures with...19$100,744-56%$39,298
064 Intracranial Hemorrhage or Cerebral Infarction with MCC18$59,500-40%$13,543
280 Acute Myocardial Infarction, Discharged Alive with MCC18$46,924-38%$11,673
312 Syncope and Collapse18$29,476-35%$6,084
193 Simple Pneumonia and Pleurisy with MCC17$29,160-51%$9,228
603 Cellulitis without MCC17$29,987-20%$6,172
683 Renal Failure with CC16$31,367-23%$6,252
083 Traumatic Stupor and Coma >1 Hour with CC15$47,382-35%$9,414
177 Respiratory Infections and Inflammations with MCC15$39,941-43%$11,242
057 Degenerative Nervous System Disorders without MCC14$36,512-36%$9,295
322 Percutaneous Cardiovascular Procedures with Intraluminal...14$77,318-33%$12,486
682 Renal Failure with MCC14$40,891-38%$10,780
281 Acute Myocardial Infarction, Discharged Alive with CC13$34,992-31%$6,396
377 Gastrointestinal Hemorrhage with MCC13$33,153-61%$11,049
551 Medical Back Problems with MCC13$47,613-40%$11,151
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...12$34,993-37%$6,916
184 Major Chest Trauma with CC12$28,031-49%$7,316
190 Chronic Obstructive Pulmonary Disease with MCC12$34,001-33%$7,502
389 Gastrointestinal Obstruction with CC12$35,588-9%$6,627
309 Cardiac Arrhythmia and Conduction Disorders with CC11$18,672-48%$5,289
321 Percutaneous Cardiovascular Procedures with Intraluminal...11$113,468-31%$21,581
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$23,777-41%$5,530
480 Hip and Femur Procedures except Major Joint with MCC11$100,671-27%$19,596
689 Kidney and Urinary Tract Infections with MCC11$35,745-30%$7,781

Outpatient services

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Center Summit charged $45,720 on average, 23% less than the Wisconsin average of $59,481, and was paid $13,700 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Center Summit charged $34,619 on average, 12% less than the Wisconsin average of $39,564, and was paid $8,827 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Center Summit charged $31,925 on average, 7% less than the Wisconsin average of $34,158, and was paid $9,001 against a state average of $8,925. For Pulmonary Edema and Respiratory Failure (DRG 189), Aurora Medical Center Summit charged $33,969 on average, 16% less than the Wisconsin average of $40,535, and was paid $8,745 against a state average of $10,823. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,807 was 6% below the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,196 was 3% below the state average of $17,717. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,003 was 1% above the state average of $8,908. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,128 was 6% below the state average of $50,282.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Aurora Medical Center Summit in Summit, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.