Wisconsin / Froedtert Memorial Lutheran Hospital

CMS certification 520177 · Milwaukee, WI · 6 entries in CMS's price-transparency list

Froedtert Memorial Lutheran Hospital: charges and Medicare payments

Froedtert Memorial Lutheran Hospital reported 6,006 Medicare inpatient stays across 184 DRGs in 2024. Across them it charged 3.69 times what it was paid — mid-range in Wisconsin, number 23 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: 335 stays at an average charge of $76,487, 15% below the national average. It also billed 6,726 outpatient services, charging 7.86 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 6,006
  2. 2Charge ÷ paid, inpatient 3.69×
  3. 3Rank in WI (highest ratio = 1) 23 of 55
  4. 4CMS price-transparency actions 6
DRG 871$76,487DRG 291$44,346DRG 177$67,638DRG 640$41,361DRG 698$50,335DRG 064$100,308DRG 392$31,160DRG 683$35,890DRG 189$47,241DRG 847$50,568
Average charge per stay at Froedtert Memorial Lutheran Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 184 DRGs that can be compared with the national average, Froedtert Memorial Lutheran Hospital charged more than the national average in 43 (23%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC335$76,487-15%$21,368
291 Heart Failure and Shock with MCC201$44,346-21%$14,413
177 Respiratory Infections and Inflammations with MCC104$67,638-4%$20,407
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...93$41,361-31%$13,549
698 Other Kidney and Urinary Tract Diagnoses with MCC92$50,335-31%$17,006
064 Intracranial Hemorrhage or Cerebral Infarction with MCC91$100,3080%$24,199
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...90$31,160-22%$8,786
683 Renal Failure with CC90$35,890-12%$10,484
189 Pulmonary Edema and Respiratory Failure88$47,241-18%$14,841
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...88$50,568-25%$15,098
193 Simple Pneumonia and Pleurisy with MCC83$44,808-25%$14,206
699 Other Kidney and Urinary Tract Diagnoses with CC77$46,019-3%$12,382
025 Craniotomy and Endovascular Intracranial Procedures with MCC76$189,144-18%$45,075
163 Major Chest Procedures with MCC72$120,553-43%$44,986
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...70$51,507-8%$12,052
690 Kidney and Urinary Tract Infections without MCC70$34,953-8%$9,002
208 Respiratory System Diagnosis with Ventilator Support <=96...68$124,187-8%$32,693
314 Other Circulatory System Diagnoses with MCC66$84,290-11%$25,418
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...66$42,765+15%$9,965
309 Cardiac Arrhythmia and Conduction Disorders with CC65$31,494-13%$13,492
330 Major Small and Large Bowel Procedures with CC61$116,456-2%$27,655
652 Kidney Transplant61$359,229+7%$73,381
853 Infectious and Parasitic Diseases with O.R. Procedures with...61$146,503-36%$50,303
219 Cardiac Valve and Other Major Cardiothoracic Procedures...55$285,058-29%$76,590
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...55$46,407-24%$14,013
481 Hip and Femur Procedures except Major Joint with CC54$128,685+28%$21,826
378 Gastrointestinal Hemorrhage with CC53$44,132-9%$11,585
682 Renal Failure with MCC53$68,782+4%$17,875
312 Syncope and Collapse51$40,981-10%$10,285
552 Medical Back Problems without MCC50$40,140-18%$11,205
286 Circulatory Disorders except AMI, with Cardiac...49$110,875-1%$25,237
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC49$41,137-16%$12,154
274 Percutaneous and Other Intracardiac Procedures without MCC47$124,390-21%$30,409
101 Seizures without MCC46$40,325-17%$10,811
389 Gastrointestinal Obstruction with CC45$33,475-14%$9,184
812 Red Blood Cell Disorders without MCC44$28,993-35%$9,805
919 Complications of Treatment with MCC44$71,518-19%$26,007
267 Endovascular Cardiac Valve Replacement and Supplement...43$140,831-36%$44,086
689 Kidney and Urinary Tract Infections with MCC42$45,825-11%$13,857
266 Endovascular Cardiac Valve Replacement and Supplement...41$241,858-15%$65,781
394 Other Digestive System Diagnoses with CC41$41,605-12%$11,219
057 Degenerative Nervous System Disorders without MCC40$48,460-14%$13,995
638 Diabetes with CC40$31,786-24%$9,481
091 Other Disorders of Nervous System with MCC39$75,094-9%$20,252
287 Circulatory Disorders except AMI, with Cardiac...38$59,745-6%$13,717
377 Gastrointestinal Hemorrhage with MCC38$79,570-7%$20,378
393 Other Digestive System Diagnoses with MCC38$66,866-13%$19,019
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...38$191,304-12%$52,065
329 Major Small and Large Bowel Procedures with MCC37$171,349-20%$45,477
406 Pancreas, Liver and Shunt Procedures with CC37$174,313+8%$32,806
070 Other Cerebrovascular Disorders with MCC35$77,602+2%$20,381
178 Respiratory Infections and Inflammations with CC35$43,874-3%$12,559
435 Malignancy of Hepatobiliary System or Pancreas with MCC35$73,263-22%$19,157
603 Cellulitis without MCC35$32,151-14%$9,932
100 Seizures with MCC34$67,978-28%$21,432
292 Heart Failure and Shock with CC34$45,348+16%$10,982
308 Cardiac Arrhythmia and Conduction Disorders with MCC34$51,570-9%$14,807
003 ECMO or Tracheostomy with MV >96 Hours or Principal...33$702,656-33%$200,802
300 Peripheral Vascular Disorders with CC33$39,758-20%$11,960
071 Other Cerebrovascular Disorders with CC32$43,572-14%$11,765

Showing the 60 most frequent of 184 DRGs.

Outpatient services

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Froedtert Memorial Lutheran Hospital charged $76,487 on average, 29% more than the Wisconsin average of $59,481, and was paid $21,368 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Froedtert Memorial Lutheran Hospital charged $44,346 on average, 12% more than the Wisconsin average of $39,564, and was paid $14,413 against a state average of $10,862. For Respiratory Infections and Inflammations with MCC (DRG 177), Froedtert Memorial Lutheran Hospital charged $67,638 on average, 30% more than the Wisconsin average of $52,035, and was paid $20,407 against a state average of $14,345. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Froedtert Memorial Lutheran Hospital charged $41,361 on average, 0% less than the Wisconsin average of $41,296, and was paid $13,549 against a state average of $11,673. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,503 was 12% above the state average of $2,237. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,793 was 32% above the state average of $8,908. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,649 was 12% above the state average of $8,646. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $19,462 was 27% above the state average of $15,286.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Froedtert Memorial Lutheran Hospital in Milwaukee, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.