Wisconsin / Froedtert Holy Family Memorial Hospital
CMS certification 520107 · Manitowoc, WI · 2 entries in CMS's price-transparency list
Froedtert Holy Family Memorial Hospital: charges and Medicare payments
Froedtert Holy Family Memorial Hospital reported 112 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 3.5 times what it was paid — mid-range in Wisconsin, number 27 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: 37 stays at an average charge of $30,532, 46% below the national average. It also billed 428 outpatient services, charging 6.3 times what Medicare paid.
- 1Medicare inpatient stays 112
- 2Charge ÷ paid, inpatient 3.5×
- 3Rank in WI (highest ratio = 1) 27 of 55
- 4CMS price-transparency actions 2
Inpatient stays
For the 5 DRGs that can be compared with the national average, Froedtert Holy Family 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 37 | $30,532 | -46% | $9,047 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 34 | $50,533 | -44% | $15,008 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $21,218 | -44% | $6,201 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $50,278 | -29% | $11,901 |
| 683 Renal Failure with CC | 12 | $23,781 | -42% | $6,536 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Nerve Procedures | 91 | $10,403 | $1,721 |
| Level 1 Intraocular Procedures | 72 | $13,814 | $2,096 |
| Level 5 Musculoskeletal Procedures | 62 | $49,813 | $11,496 |
| Comprehensive Observation Services | 52 | $13,459 | $2,462 |
| Level 4 Musculoskeletal Procedures | 36 | $40,058 | $6,434 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $9,320 | $1,458 |
| Level 3 Musculoskeletal Procedures | 28 | $17,599 | $2,911 |
| Level 2 Musculoskeletal Procedures | 22 | $6,821 | $1,445 |
| Level 2 Upper GI Procedures | 22 | $13,685 | $1,711 |
| Level 6 Musculoskeletal Procedures | 11 | $73,480 | $16,725 |
Against the Wisconsin average
For Heart Failure and Shock with MCC (DRG 291), Froedtert Holy Family Memorial Hospital charged $30,532 on average, 23% less than the Wisconsin average of $39,564, and was paid $9,047 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Froedtert Holy Family Memorial Hospital charged $50,533 on average, 15% less than the Wisconsin average of $59,481, and was paid $15,008 against a state average of $16,719. For Kidney and Urinary Tract Infections without MCC (DRG 690), Froedtert Holy Family Memorial Hospital charged $21,218 on average, 24% less than the Wisconsin average of $27,765, and was paid $6,201 against a state average of $6,984. For Respiratory Infections and Inflammations with MCC (DRG 177), Froedtert Holy Family Memorial Hospital charged $50,278 on average, 3% less than the Wisconsin average of $52,035, and was paid $11,901 against a state average of $14,345. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,403 was 11% above the state average of $9,348. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,814 was 20% above the state average of $11,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,813 was 1% below the state average of $50,282. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,459 was 24% below the state average of $17,717.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Froedtert Holy Family Memorial Hospital in Manitowoc, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-22 (CMS case 2951)
- Closure Notice — 2025-01-07 (CMS case 2951)
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.