Wisconsin / Aurora Medical Ctr Kenosha
CMS certification 520189 · Kenosha, WI
Aurora Medical Ctr Kenosha: charges and Medicare payments
Aurora Medical Ctr Kenosha reported 1,276 Medicare inpatient stays across 41 DRGs in 2024. Across them it charged 4.3 times what it was paid — among the higher ratios in Wisconsin, number 13 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: 264 stays at an average charge of $59,174, 34% below the national average. It also billed 1,727 outpatient services, charging 7.99 times what Medicare paid.
- 1Medicare inpatient stays 1,276
- 2Charge ÷ paid, inpatient 4.3×
- 3Rank in WI (highest ratio = 1) 13 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 41 DRGs that can be compared with the national average, Aurora Medical Ctr Kenosha charged more than the national average in 2 (5%). 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 | 264 | $59,174 | -34% | $14,399 |
| 291 Heart Failure and Shock with MCC | 101 | $41,141 | -27% | $9,179 |
| 193 Simple Pneumonia and Pleurisy with MCC | 64 | $39,235 | -34% | $10,142 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 50 | $43,240 | -12% | $8,362 |
| 189 Pulmonary Edema and Respiratory Failure | 47 | $41,049 | -29% | $9,930 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 47 | $129,854 | -43% | $38,389 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $56,405 | -20% | $12,361 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 43 | $48,067 | -35% | $11,610 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $38,110 | -22% | $7,286 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $47,545 | -37% | $11,854 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $32,488 | -19% | $6,275 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $38,759 | -24% | $8,424 |
| 682 Renal Failure with MCC | 26 | $53,183 | -19% | $10,453 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 25 | $41,660 | -25% | $7,872 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $25,057 | -34% | $6,457 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $52,847 | -38% | $12,873 |
| 389 Gastrointestinal Obstruction with CC | 22 | $26,327 | -32% | $7,113 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $25,558 | -31% | $5,774 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $98,025 | -18% | $19,584 |
| 683 Renal Failure with CC | 20 | $32,472 | -20% | $8,746 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 19 | $46,778 | -28% | $10,052 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $85,178 | -15% | $16,630 |
| 603 Cellulitis without MCC | 19 | $31,278 | -16% | $6,604 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $37,445 | -38% | $10,290 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $33,285 | -34% | $9,905 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $34,236 | -5% | $5,625 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $27,933 | -27% | $8,831 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $44,071 | -22% | $8,885 |
| 312 Syncope and Collapse | 15 | $32,479 | -29% | $6,440 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $33,899 | -29% | $8,478 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $39,649 | -21% | $6,706 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $84,163 | -18% | $14,952 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $133,774 | -38% | $30,126 |
| 394 Other Digestive System Diagnoses with CC | 12 | $49,108 | +4% | $6,991 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $63,690 | -36% | $13,380 |
| 299 Peripheral Vascular Disorders with MCC | 11 | $70,310 | -6% | $12,879 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $53,925 | -30% | $14,261 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $63,688 | -32% | $13,967 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $96,839 | -30% | $19,572 |
| 552 Medical Back Problems without MCC | 11 | $32,869 | -33% | $6,796 |
| 638 Diabetes with CC | 11 | $42,228 | +1% | $6,779 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Ctr Kenosha charged $59,174 on average, 1% less than the Wisconsin average of $59,481, and was paid $14,399 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Ctr Kenosha charged $41,141 on average, 4% more than the Wisconsin average of $39,564, and was paid $9,179 against a state average of $10,862. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Aurora Medical Ctr Kenosha charged $39,235 on average, 2% less than the Wisconsin average of $40,070, and was paid $10,142 against a state average of $11,231. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Ctr Kenosha charged $43,240 on average, 27% more than the Wisconsin average of $34,158, and was paid $8,362 against a state average of $8,925. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,773 was 6% above the state average of $17,717. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $13,260 was 18% below the state average of $16,152. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $20,647 was 77% above the state average of $11,645. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,846 was 5% above 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.