Wisconsin / Froedtert Pleasant Prairie Hospital
CMS certification 520021 · Pleasant Prairie, WI · 3 entries in CMS's price-transparency list
Froedtert Pleasant Prairie Hospital: charges and Medicare payments
Froedtert Pleasant Prairie Hospital reported 1,125 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 4.26 times what it was paid — among the higher ratios in Wisconsin, number 15 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: 109 stays at an average charge of $54,329, 40% below the national average. It also billed 1,592 outpatient services, charging 6.56 times what Medicare paid.
- 1Medicare inpatient stays 1,125
- 2Charge ÷ paid, inpatient 4.26×
- 3Rank in WI (highest ratio = 1) 15 of 55
- 4CMS price-transparency actions 3
Inpatient stays
For the 44 DRGs that can be compared with the national average, Froedtert Pleasant Prairie Hospital charged more than the national average in 2 (5%). 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 | 109 | $54,329 | -40% | $14,090 |
| 291 Heart Failure and Shock with MCC | 76 | $32,913 | -42% | $9,625 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 49 | $33,725 | -16% | $6,808 |
| 193 Simple Pneumonia and Pleurisy with MCC | 48 | $32,226 | -46% | $9,754 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $45,153 | -22% | $10,029 |
| 690 Kidney and Urinary Tract Infections without MCC | 44 | $25,051 | -34% | $6,876 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 41 | $35,890 | -36% | $7,884 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $31,947 | -37% | $8,560 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $28,959 | -22% | $6,193 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $35,099 | -28% | $8,604 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $37,145 | -23% | $8,647 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $52,576 | -26% | $12,353 |
| 603 Cellulitis without MCC | 30 | $32,130 | -14% | $6,770 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $24,706 | -32% | $6,047 |
| 552 Medical Back Problems without MCC | 26 | $29,670 | -39% | $7,191 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $39,007 | -24% | $8,858 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $29,863 | -22% | $6,515 |
| 683 Renal Failure with CC | 23 | $31,141 | -23% | $7,012 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $65,912 | -35% | $14,964 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $43,367 | -28% | $9,338 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 20 | $113,092 | -28% | $22,979 |
| 312 Syncope and Collapse | 20 | $24,638 | -46% | $6,889 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $42,688 | -42% | $11,324 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $108,101 | -6% | $18,789 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $261,826 | +14% | $63,067 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $57,846 | -42% | $14,296 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $120,754 | +1% | $22,289 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $45,592 | -47% | $12,384 |
| 389 Gastrointestinal Obstruction with CC | 16 | $31,841 | -18% | $6,553 |
| 394 Other Digestive System Diagnoses with CC | 15 | $41,340 | -12% | $7,271 |
| 682 Renal Failure with MCC | 15 | $47,867 | -27% | $13,890 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $32,051 | -29% | $9,211 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $34,598 | -54% | $11,409 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $51,826 | -15% | $12,279 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 13 | $32,410 | -20% | $6,601 |
| 069 Transient Ischemia without Thrombolytic | 12 | $27,544 | -45% | $6,440 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $30,724 | -39% | $7,161 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $158,476 | -3% | $27,151 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $87,993 | -6% | $15,926 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $77,324 | -24% | $15,297 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $23,377 | -45% | $6,806 |
| 101 Seizures without MCC | 11 | $27,711 | -43% | $7,213 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $95,885 | -29% | $21,565 |
| 812 Red Blood Cell Disorders without MCC | 11 | $19,902 | -55% | $7,204 |
Outpatient services
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Froedtert Pleasant Prairie Hospital charged $54,329 on average, 9% less than the Wisconsin average of $59,481, and was paid $14,090 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Froedtert Pleasant Prairie Hospital charged $32,913 on average, 17% less than the Wisconsin average of $39,564, and was paid $9,625 against a state average of $10,862. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Froedtert Pleasant Prairie Hospital charged $33,725 on average, 18% more than the Wisconsin average of $28,612, and was paid $6,808 against a state average of $6,914. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Froedtert Pleasant Prairie Hospital charged $32,226 on average, 20% less than the Wisconsin average of $40,070, and was paid $9,754 against a state average of $11,231. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,052 was 5% above the state average of $11,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,938 was 4% below the state average of $17,717. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $56,249 was 12% above the state average of $50,282. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,654 was 8% above the state average of $8,908.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Froedtert Pleasant Prairie Hospital in Pleasant Prairie, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-12 (CMS case 1273)
- Warning Notice — 2026-02-25 (CMS case 7014)
- Closure Notice — 2026-05-27 (CMS case 7014)
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.