Wisconsin / Aurora Medical Ctr Washington County
CMS certification 520038 · Hartford, WI
Aurora Medical Ctr Washington County: charges and Medicare payments
Aurora Medical Ctr Washington County reported 104 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 2.48 times what it was paid — among the lower ratios in Wisconsin, number 49 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: 40 stays at an average charge of $38,562, 57% below the national average. It also billed 434 outpatient services, charging 7.86 times what Medicare paid.
- 1Medicare inpatient stays 104
- 2Charge ÷ paid, inpatient 2.48×
- 3Rank in WI (highest ratio = 1) 49 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Aurora Medical Ctr Washington County 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 | 40 | $38,562 | -57% | $16,536 |
| 291 Heart Failure and Shock with MCC | 23 | $27,142 | -52% | $10,667 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $29,807 | -50% | $12,189 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $29,916 | -39% | $10,600 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $41,171 | -44% | $15,479 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 135 | $11,240 | $2,100 |
| Level 5 Musculoskeletal Procedures | 81 | $77,529 | $11,984 |
| Comprehensive Observation Services | 53 | $16,131 | $2,421 |
| Level 1 Nerve Procedures | 50 | $11,737 | $1,759 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 33 | $10,750 | $1,443 |
| Level 4 Musculoskeletal Procedures | 27 | $45,594 | $6,523 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $17,148 | $2,591 |
| Level 3 Musculoskeletal Procedures | 15 | $31,382 | $2,795 |
| Level 2 Musculoskeletal Procedures | 12 | $11,957 | $1,368 |
| Level 2 Upper GI Procedures | 11 | $11,293 | $1,735 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Aurora Medical Ctr Washington County charged $38,562 on average, 35% less than the Wisconsin average of $59,481, and was paid $16,536 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Aurora Medical Ctr Washington County charged $27,142 on average, 31% less than the Wisconsin average of $39,564, and was paid $10,667 against a state average of $10,862. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Aurora Medical Ctr Washington County charged $29,807 on average, 26% less than the Wisconsin average of $40,070, and was paid $12,189 against a state average of $11,231. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Aurora Medical Ctr Washington County charged $29,916 on average, 12% less than the Wisconsin average of $34,158, and was paid $10,600 against a state average of $8,925. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,240 was 2% below the state average of $11,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,529 was 54% above the state average of $50,282. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,131 was 9% below the state average of $17,717. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,737 was 26% 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.