Wisconsin / Aurora Medical Ctr Oshkosh
CMS certification 520198 · Oshkosh, WI
Aurora Medical Ctr Oshkosh: charges and Medicare payments
Aurora Medical Ctr Oshkosh reported 302 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.54 times what it was paid — mid-range in Wisconsin, number 26 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: 78 stays at an average charge of $43,913, 51% below the national average. It also billed 1,149 outpatient services, charging 5.69 times what Medicare paid.
- 1Medicare inpatient stays 302
- 2Charge ÷ paid, inpatient 3.54×
- 3Rank in WI (highest ratio = 1) 26 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Aurora Medical Ctr Oshkosh 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 | 78 | $43,913 | -51% | $14,692 |
| 291 Heart Failure and Shock with MCC | 58 | $37,633 | -33% | $8,680 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $32,541 | -34% | $7,165 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $31,406 | -47% | $10,055 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $19,894 | -45% | $6,062 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $25,613 | -32% | $5,829 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $26,075 | -46% | $7,076 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $24,981 | -38% | $5,801 |
| 683 Renal Failure with CC | 16 | $24,038 | -41% | $6,365 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $39,888 | -46% | $10,966 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $47,618 | -33% | $11,390 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $25,885 | -55% | $9,978 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Ctr Oshkosh charged $43,913 on average, 26% less than the Wisconsin average of $59,481, and was paid $14,692 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Ctr Oshkosh charged $37,633 on average, 5% less than the Wisconsin average of $39,564, and was paid $8,680 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Ctr Oshkosh charged $32,541 on average, 5% less than the Wisconsin average of $34,158, and was paid $7,165 against a state average of $8,925. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Aurora Medical Ctr Oshkosh charged $31,406 on average, 22% less than the Wisconsin average of $40,070, and was paid $10,055 against a state average of $11,231. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,824 was 27% below the state average of $9,348. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,809 was 1% above the state average of $17,717. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,951 was 22% below the state average of $11,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,802 was 13% below the state average of $50,282.
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.