Wisconsin / Froedtert West Bend Hospital
CMS certification 520063 · West Bend, WI
Froedtert West Bend Hospital: charges and Medicare payments
Froedtert West Bend Hospital reported 458 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 4.53 times what it was paid — among the higher ratios in Wisconsin, number 9 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: 90 stays at an average charge of $38,519, 32% below the national average. It also billed 828 outpatient services, charging 8.1 times what Medicare paid.
- 1Medicare inpatient stays 458
- 2Charge ÷ paid, inpatient 4.53×
- 3Rank in WI (highest ratio = 1) 9 of 55
- 4CMS price-transparency actions 0
Inpatient stays
For the 16 DRGs that can be compared with the national average, Froedtert West Bend 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 | 90 | $38,519 | -32% | $9,762 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 80 | $59,381 | -34% | $14,344 |
| 177 Respiratory Infections and Inflammations with MCC | 53 | $52,793 | -25% | $10,794 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $36,815 | -25% | $6,912 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $44,592 | -23% | $10,992 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $29,576 | -39% | $7,216 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $47,304 | -36% | $9,711 |
| 389 Gastrointestinal Obstruction with CC | 19 | $31,205 | -20% | $5,288 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $41,194 | -31% | $8,602 |
| 682 Renal Failure with MCC | 16 | $42,983 | -35% | $8,903 |
| 683 Renal Failure with CC | 16 | $28,579 | -30% | $5,935 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $24,553 | -39% | $5,838 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $45,856 | -18% | $6,284 |
| 603 Cellulitis without MCC | 12 | $26,544 | -29% | $5,680 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $24,794 | -34% | $5,206 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $77,587 | -17% | $12,488 |
Outpatient services
Against the Wisconsin average
For Heart Failure and Shock with MCC (DRG 291), Froedtert West Bend Hospital charged $38,519 on average, 3% less than the Wisconsin average of $39,564, and was paid $9,762 against a state average of $10,862. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Froedtert West Bend Hospital charged $59,381 on average, 0% less than the Wisconsin average of $59,481, and was paid $14,344 against a state average of $16,719. For Respiratory Infections and Inflammations with MCC (DRG 177), Froedtert West Bend Hospital charged $52,793 on average, 1% more than the Wisconsin average of $52,035, and was paid $10,794 against a state average of $14,345. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Froedtert West Bend Hospital charged $36,815 on average, 8% more than the Wisconsin average of $34,158, and was paid $6,912 against a state average of $8,925. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,129 was 9% below the state average of $17,717. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,122 was 32% above the state average of $11,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $66,477 was 32% above the state average of $50,282. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $11,330 was 30% below the state average of $16,152.
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.