Wisconsin / Beloit Memorial Hospital
CMS certification 520100 · Beloit, WI · 4 entries in CMS's price-transparency list
Beloit Memorial Hospital: charges and Medicare payments
Beloit Memorial Hospital reported 636 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 4.55 times what it was paid — among the higher ratios in Wisconsin, number 8 of 55 hospitals with at least 100 stays (state median 3.47×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 77 stays at an average charge of $55,266, 2% below the national average. It also billed 1,619 outpatient services, charging 8.5 times what Medicare paid.
- 1Medicare inpatient stays 636
- 2Charge ÷ paid, inpatient 4.55×
- 3Rank in WI (highest ratio = 1) 8 of 55
- 4CMS price-transparency actions 4
Inpatient stays
For the 25 DRGs that can be compared with the national average, Beloit Memorial Hospital charged more than the national average in 8 (32%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 77 | $55,266 | -2% | $12,600 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 72 | $88,578 | -2% | $19,456 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $49,562 | -17% | $12,835 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $62,184 | -18% | $15,316 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $37,661 | -26% | $12,153 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $53,357 | -12% | $12,704 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $70,007 | -1% | $16,224 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $36,344 | -2% | $7,700 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $46,957 | -9% | $11,576 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $39,868 | +5% | $7,888 |
| 683 Renal Failure with CC | 21 | $39,690 | -2% | $8,739 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $199,768 | -13% | $49,589 |
| 682 Renal Failure with MCC | 18 | $71,560 | +9% | $14,782 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $76,156 | +51% | $10,913 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $168,374 | +3% | $27,736 |
| 389 Gastrointestinal Obstruction with CC | 16 | $34,231 | -12% | $8,439 |
| 637 Diabetes with MCC | 16 | $63,020 | -5% | $14,090 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $107,460 | -10% | $22,931 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $37,603 | +4% | $6,875 |
| 603 Cellulitis without MCC | 14 | $42,440 | +14% | $8,631 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $59,844 | -8% | $13,658 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $119,134 | +4% | $17,626 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $129,229 | +28% | $21,724 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $44,062 | -10% | $10,042 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $83,815 | -2% | $17,355 |
Outpatient services
Against the Wisconsin average
For Heart Failure and Shock with MCC (DRG 291), Beloit Memorial Hospital charged $55,266 on average, 40% more than the Wisconsin average of $39,564, and was paid $12,600 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Beloit Memorial Hospital charged $88,578 on average, 49% more than the Wisconsin average of $59,481, and was paid $19,456 against a state average of $16,719. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Beloit Memorial Hospital charged $49,562 on average, 24% more than the Wisconsin average of $40,070, and was paid $12,835 against a state average of $11,231. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Beloit Memorial Hospital charged $62,184 on average, 21% more than the Wisconsin average of $51,375, and was paid $15,316 against a state average of $13,995. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $20,586 was 79% above the state average of $11,485. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,345 was 40% below the state average of $2,237. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,908 was 62% above the state average of $11,645. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,314 was 40% below the state average of $8,908.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Beloit Memorial Hospital in Beloit, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-06-29 (CMS case 17)
- CAP Request — 2022-10-24 (CMS case 17)
- Closure Notice — 2022-11-14 (CMS case 17)
- Met Requirements — 2025-09-12 (CMS case 6613)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.