Bellin Memorial Hospital: charges and Medicare payments

Bellin Memorial Hospital reported 831 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 2.63 times what it was paid — among the lower ratios in Wisconsin, number 45 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 267, Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC: 105 stays at an average charge of $86,917, 61% below the national average. It also billed 2,704 outpatient services, charging 6.75 times what Medicare paid.

1Medicare inpatient stays 831
2Charge ÷ paid, inpatient 2.63×
3Rank in WI (highest ratio = 1) 45 of 55
4CMS price-transparency actions 0

Average charge per stay at Bellin Memorial Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 33 DRGs that can be compared with the national average, Bellin Memorial Hospital 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
267 Endovascular Cardiac Valve Replacement and Supplement...	105	$86,917	-61%	$33,452
274 Percutaneous and Other Intracardiac Procedures without MCC	73	$48,077	-69%	$22,772
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	72	$29,987	-67%	$13,795
189 Pulmonary Edema and Respiratory Failure	62	$30,691	-47%	$9,296
291 Heart Failure and Shock with MCC	51	$26,061	-54%	$9,151
266 Endovascular Cardiac Valve Replacement and Supplement...	42	$97,608	-66%	$42,422
322 Percutaneous Cardiovascular Procedures with Intraluminal...	36	$66,789	-42%	$13,908
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	30	$16,721	-66%	$8,268
177 Respiratory Infections and Inflammations with MCC	25	$47,907	-32%	$12,415
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$13,022	-65%	$6,024
682 Renal Failure with MCC	19	$29,020	-56%	$10,236
853 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$73,868	-68%	$31,516
193 Simple Pneumonia and Pleurisy with MCC	17	$23,912	-60%	$9,440
481 Hip and Femur Procedures except Major Joint with CC	16	$48,957	-51%	$14,658
683 Renal Failure with CC	16	$13,564	-67%	$6,863
330 Major Small and Large Bowel Procedures with CC	15	$51,269	-57%	$17,756
378 Gastrointestinal Hemorrhage with CC	15	$20,450	-58%	$7,452
236 Coronary Bypass without Cardiac Catheterization without MCC	14	$73,409	-65%	$28,191
287 Circulatory Disorders except AMI, with Cardiac...	14	$23,118	-64%	$8,744
309 Cardiac Arrhythmia and Conduction Disorders with CC	14	$14,377	-60%	$5,826
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	14	$27,585	-54%	$9,702
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	13	$95,108	-66%	$36,271
329 Major Small and Large Bowel Procedures with MCC	13	$110,246	-49%	$37,904
603 Cellulitis without MCC	13	$14,852	-60%	$6,769
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	12	$15,391	-72%	$7,802
190 Chronic Obstructive Pulmonary Disease with MCC	12	$35,450	-30%	$8,175
233 Coronary Bypass with Cardiac Catheterization or Open...	12	$123,600	-68%	$58,395
234 Coronary Bypass with Cardiac Catheterization or Open...	12	$98,864	-63%	$43,612
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$16,267	-68%	$7,024
039 Extracranial Procedures without CC/MCC	11	$22,956	-64%	$8,511
321 Percutaneous Cardiovascular Procedures with Intraluminal...	11	$105,182	-36%	$22,309
331 Major Small and Large Bowel Procedures without CC/MCC	11	$41,414	-52%	$12,056
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	11	$30,321	-55%	$10,522

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	390	$11,559	$2,440
Level 5 Musculoskeletal Procedures	243	$55,833	$11,533
Level 1 Endovascular Procedures	204	$14,259	$2,890
Level 2 Excision/ Biopsy/ Incision and Drainage	173	$10,853	$1,414
Level 4 Musculoskeletal Procedures	141	$39,277	$6,338
Level 3 Electrophysiologic Procedures	118	$100,320	$20,866
Level 4 Urology and Related Services	101	$22,684	$3,119
Level 3 Vascular Procedures	90	$18,282	$2,776
Level 3 Endovascular Procedures	90	$63,464	$9,745
Level 1 Nerve Procedures	87	$11,148	$1,692
Level 3 Musculoskeletal Procedures	84	$19,361	$2,773
Level 1 Laparoscopy and Related Services	81	$27,460	$5,112
Level 3 Urology and Related Services	67	$9,725	$1,823
Level 4 Endovascular Procedures	65	$109,214	$15,203
Level 5 Airway Endoscopy	56	$66,152	$6,037
Level 5 Urology and Related Services	56	$26,543	$4,630
Level 2 Laparoscopy and Related Services	55	$63,062	$9,206
Level 3 Excision/ Biopsy/ Incision and Drainage	54	$16,295	$2,448
Level 3 Pacemaker and Similar Procedures	52	$48,545	$9,549
Level 2 Pacemaker and Similar Procedures	47	$40,830	$7,602
Level 6 Musculoskeletal Procedures	42	$75,402	$16,283
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	42	$16,917	$3,096
Level 2 Upper GI Procedures	41	$9,866	$1,703
Level 2 Endovascular Procedures	38	$30,770	$5,007
Level 4 Airway Endoscopy	30	$21,949	$3,262

Against the Wisconsin average

For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Bellin Memorial Hospital charged $86,917 on average, 44% less than the Wisconsin average of $156,308, and was paid $33,452 against a state average of $39,116. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Bellin Memorial Hospital charged $48,077 on average, 55% less than the Wisconsin average of $107,338, and was paid $22,772 against a state average of $25,143. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bellin Memorial Hospital charged $29,987 on average, 50% less than the Wisconsin average of $59,481, and was paid $13,795 against a state average of $16,719. For Pulmonary Edema and Respiratory Failure (DRG 189), Bellin Memorial Hospital charged $30,691 on average, 24% less than the Wisconsin average of $40,535, and was paid $9,296 against a state average of $10,823. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,559 was 35% below the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $55,833 was 11% above the state average of $50,282. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,259 was 40% below the state average of $23,760. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,853 was 22% above the state average of $8,908.

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.