Wisconsin / Froedtert Menomonee Falls Hospital
CMS certification 520103 · Menomonee Falls, WI
Froedtert Menomonee Falls Hospital: charges and Medicare payments
Froedtert Menomonee Falls Hospital reported 1,264 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 3.91 times what it was paid — mid-range in Wisconsin, number 20 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: 150 stays at an average charge of $56,591, 37% below the national average. It also billed 1,582 outpatient services, charging 6.74 times what Medicare paid.
- 1Medicare inpatient stays 1,264
- 2Charge ÷ paid, inpatient 3.91×
- 3Rank in WI (highest ratio = 1) 20 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 51 DRGs that can be compared with the national average, Froedtert Menomonee Falls Hospital charged more than the national average in 2 (4%). 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 | 150 | $56,591 | -37% | $15,297 |
| 291 Heart Failure and Shock with MCC | 123 | $35,294 | -37% | $9,779 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $41,431 | -41% | $12,768 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $37,790 | -37% | $10,194 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $33,577 | -32% | $7,771 |
| 189 Pulmonary Edema and Respiratory Failure | 33 | $32,648 | -43% | $9,305 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $34,327 | -29% | $8,266 |
| 682 Renal Failure with MCC | 31 | $68,216 | +3% | $15,389 |
| 683 Renal Failure with CC | 31 | $25,176 | -38% | $6,716 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $23,432 | -38% | $6,060 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $39,984 | -28% | $8,058 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $23,636 | -35% | $6,735 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $22,414 | -44% | $6,110 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $45,094 | -39% | $12,994 |
| 467 Revision of Hip or Knee Replacement with CC | 27 | $109,996 | -30% | $28,083 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 25 | $45,183 | -29% | $8,746 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $83,461 | -10% | $14,207 |
| 389 Gastrointestinal Obstruction with CC | 24 | $24,797 | -36% | $6,238 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $33,902 | -44% | $9,459 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $21,416 | -42% | $6,129 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $61,202 | -39% | $18,080 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $66,017 | -23% | $13,597 |
| 312 Syncope and Collapse | 19 | $32,559 | -28% | $7,052 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 18 | $71,840 | -36% | $17,012 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $75,110 | -25% | $15,219 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $108,033 | -53% | $31,036 |
| 472 Cervical Spinal Fusion with CC | 16 | $96,731 | -32% | $25,786 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $26,685 | -44% | $8,991 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $46,390 | -51% | $14,484 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $57,913 | -5% | $12,997 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 15 | $164,145 | -41% | $50,440 |
| 603 Cellulitis without MCC | 15 | $22,160 | -41% | $6,804 |
| 811 Red Blood Cell Disorders with MCC | 15 | $39,545 | -42% | $10,131 |
| 070 Other Cerebrovascular Disorders with MCC | 14 | $61,137 | -20% | $14,748 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $61,512 | -19% | $11,268 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $27,292 | -36% | $6,614 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $29,643 | -42% | $8,559 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $34,411 | -24% | $7,603 |
| 394 Other Digestive System Diagnoses with CC | 13 | $28,707 | -39% | $7,200 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 13 | $109,196 | -14% | $26,036 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $93,925 | -8% | $19,719 |
| 552 Medical Back Problems without MCC | 13 | $34,041 | -30% | $7,294 |
| 884 Organic Disturbances and Intellectual Disability | 13 | $64,087 | +3% | $17,759 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $46,790 | -17% | $9,150 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $142,235 | -34% | $43,595 |
| 812 Red Blood Cell Disorders without MCC | 12 | $28,146 | -37% | $7,766 |
| 069 Transient Ischemia without Thrombolytic | 11 | $37,924 | -25% | $6,160 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $23,196 | -19% | $5,563 |
| 315 Other Circulatory System Diagnoses with CC | 11 | $28,085 | -41% | $7,379 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $72,413 | -37% | $13,402 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 11 | $65,963 | -37% | $17,189 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Froedtert Menomonee Falls Hospital charged $56,591 on average, 5% less than the Wisconsin average of $59,481, and was paid $15,297 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Froedtert Menomonee Falls Hospital charged $35,294 on average, 11% less than the Wisconsin average of $39,564, and was paid $9,779 against a state average of $10,862. For Respiratory Infections and Inflammations with MCC (DRG 177), Froedtert Menomonee Falls Hospital charged $41,431 on average, 20% less than the Wisconsin average of $52,035, and was paid $12,768 against a state average of $14,345. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Froedtert Menomonee Falls Hospital charged $37,790 on average, 6% less than the Wisconsin average of $40,070, and was paid $10,194 against a state average of $11,231. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,390 was 36% above the state average of $50,282. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,924 was 10% below the state average of $17,717. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,011 was 1% above the state average of $8,908. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,883 was 29% below the state average of $23,760.
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.