Wisconsin / Aurora Medical Ctr Manitowoc County

CMS certification 520034 · Two Rivers, WI

Aurora Medical Ctr Manitowoc County: charges and Medicare payments

Aurora Medical Ctr Manitowoc County reported 139 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 2.26 times what it was paid — among the lower ratios in Wisconsin, number 51 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: 52 stays at an average charge of $35,932, 60% below the national average. It also billed 550 outpatient services, charging 6.37 times what Medicare paid.

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  1. 1Medicare inpatient stays 139
  2. 2Charge ÷ paid, inpatient 2.26×
  3. 3Rank in WI (highest ratio = 1) 51 of 55
  4. 4CMS price-transparency actions 0
DRG 871$35,932DRG 291$28,230DRG 698$25,876DRG 872$31,007DRG 603$18,146
Average charge per stay at Aurora Medical Ctr Manitowoc County, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 5 DRGs that can be compared with the national average, Aurora Medical Ctr Manitowoc County 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 MCC52$35,932-60%$17,438
291 Heart Failure and Shock with MCC40$28,230-50%$11,349
698 Other Kidney and Urinary Tract Diagnoses with MCC18$25,876-65%$14,118
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC18$31,007-37%$9,177
603 Cellulitis without MCC11$18,146-51%$7,844

Outpatient services

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Ctr Manitowoc County charged $35,932 on average, 40% less than the Wisconsin average of $59,481, and was paid $17,438 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Ctr Manitowoc County charged $28,230 on average, 29% less than the Wisconsin average of $39,564, and was paid $11,349 against a state average of $10,862. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Aurora Medical Ctr Manitowoc County charged $25,876 on average, 45% less than the Wisconsin average of $46,805, and was paid $14,118 against a state average of $14,091. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Ctr Manitowoc County charged $31,007 on average, 9% less than the Wisconsin average of $34,158, and was paid $9,177 against a state average of $8,925. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,902 was 12% above the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,928 was 16% below the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,224 was 2% below the state average of $50,282. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $34,295 was 5% above the state average of $32,813.

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.