Wisconsin / Marshfield Medical Center

CMS certification 520037 · Marshfield, WI · 1 entry in CMS's price-transparency list

Marshfield Medical Center: charges and Medicare payments

Marshfield Medical Center reported 1,588 Medicare inpatient stays across 65 DRGs in 2024. Across them it charged 3.07 times what it was paid — mid-range in Wisconsin, number 36 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: 212 stays at an average charge of $56,847, 37% below the national average. It also billed 2,302 outpatient services, charging 4.57 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,588
  2. 2Charge ÷ paid, inpatient 3.07×
  3. 3Rank in WI (highest ratio = 1) 36 of 55
  4. 4CMS price-transparency actions 1
DRG 871$56,847DRG 291$41,360DRG 177$45,669DRG 481$71,463DRG 853$131,150DRG 193$26,977DRG 280$54,666DRG 698$60,649DRG 189$29,160DRG 872$35,385
Average charge per stay at Marshfield Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 65 DRGs that can be compared with the national average, Marshfield Medical Center charged more than the national average in 0 (0%). 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 MCC212$56,847-37%$18,966
291 Heart Failure and Shock with MCC60$41,360-27%$12,674
177 Respiratory Infections and Inflammations with MCC50$45,669-35%$15,579
481 Hip and Femur Procedures except Major Joint with CC43$71,463-29%$19,808
853 Infectious and Parasitic Diseases with O.R. Procedures with...42$131,150-43%$49,894
193 Simple Pneumonia and Pleurisy with MCC39$26,977-55%$11,834
280 Acute Myocardial Infarction, Discharged Alive with MCC39$54,666-28%$16,227
698 Other Kidney and Urinary Tract Diagnoses with MCC38$60,649-17%$19,077
189 Pulmonary Edema and Respiratory Failure34$29,160-49%$11,154
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC34$35,385-28%$9,807
322 Percutaneous Cardiovascular Procedures with Intraluminal...33$64,814-43%$16,646
378 Gastrointestinal Hemorrhage with CC33$23,541-52%$9,280
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...33$25,416-37%$7,123
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...32$26,868-52%$9,446
064 Intracranial Hemorrhage or Cerebral Infarction with MCC29$62,015-38%$20,057
470 Major Hip and Knee Joint Replacement or Reattachment of...28$61,255-34%$16,579
287 Circulatory Disorders except AMI, with Cardiac...26$39,723-38%$9,580
274 Percutaneous and Other Intracardiac Procedures without MCC25$91,483-42%$29,210
480 Hip and Femur Procedures except Major Joint with MCC23$79,819-42%$25,991
253 Other Vascular Procedures with CC22$81,848-38%$22,724
309 Cardiac Arrhythmia and Conduction Disorders with CC22$15,067-58%$6,696
329 Major Small and Large Bowel Procedures with MCC22$159,443-26%$49,678
522 Hip Replacement with Principal Diagnosis of Hip Fracture...22$52,578-49%$18,821
281 Acute Myocardial Infarction, Discharged Alive with CC21$34,226-32%$9,185
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...21$58,811-2%$11,910
690 Kidney and Urinary Tract Infections without MCC21$27,116-28%$7,443
270 Other Major Cardiovascular Procedures with MCC20$150,862-42%$46,676
312 Syncope and Collapse20$20,453-55%$7,732
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...20$24,093-61%$10,913
252 Other Vascular Procedures with MCC19$105,112-38%$32,692
321 Percutaneous Cardiovascular Procedures with Intraluminal...19$78,807-52%$26,669
683 Renal Failure with CC19$25,907-36%$8,274
267 Endovascular Cardiac Valve Replacement and Supplement...18$141,416-36%$41,581
271 Other Major Cardiovascular Procedures with CC18$85,592-51%$29,889
314 Other Circulatory System Diagnoses with MCC18$63,751-33%$21,550
552 Medical Back Problems without MCC18$19,164-61%$8,617
682 Renal Failure with MCC18$38,899-41%$13,607
025 Craniotomy and Endovascular Intracranial Procedures with MCC17$137,134-41%$47,339
330 Major Small and Large Bowel Procedures with CC17$72,782-39%$21,116
164 Major Chest Procedures with CC16$62,688-51%$22,990
516 Other Musculoskeletal System and Connective Tissue O.R....16$59,224-42%$17,957
660 Kidney and Ureter Procedures for Non-Neoplasm with CC16$32,611-52%$12,042
689 Kidney and Urinary Tract Infections with MCC16$33,305-35%$11,017
219 Cardiac Valve and Other Major Cardiothoracic Procedures...15$172,057-57%$71,248
313 Chest Pain15$19,348-52%$6,450
389 Gastrointestinal Obstruction with CC15$21,344-45%$7,295
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...15$109,974-49%$42,868
269 Aortic and Heart Assist Procedures except Pulsation Balloon...14$100,842-48%$35,828
377 Gastrointestinal Hemorrhage with MCC14$39,338-54%$16,106
208 Respiratory System Diagnosis with Ventilator Support <=96...13$86,065-37%$25,180
308 Cardiac Arrhythmia and Conduction Disorders with MCC13$29,580-48%$10,877
394 Other Digestive System Diagnoses with CC13$27,442-42%$8,607
603 Cellulitis without MCC13$21,600-42%$7,929
035 Carotid Artery Stent Procedures with CC12$72,051-37%$19,856
038 Extracranial Procedures with CC12$47,424-46%$16,300
069 Transient Ischemia without Thrombolytic12$40,773-19%$10,063
233 Coronary Bypass with Cardiac Catheterization or Open...12$248,602-35%$76,944
300 Peripheral Vascular Disorders with CC12$21,804-56%$9,493
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC12$15,188-47%$4,980
699 Other Kidney and Urinary Tract Diagnoses with CC12$26,397-44%$9,153

Showing the 60 most frequent of 65 DRGs.

Outpatient services

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Marshfield Medical Center charged $56,847 on average, 4% less than the Wisconsin average of $59,481, and was paid $18,966 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Marshfield Medical Center charged $41,360 on average, 5% more than the Wisconsin average of $39,564, and was paid $12,674 against a state average of $10,862. For Respiratory Infections and Inflammations with MCC (DRG 177), Marshfield Medical Center charged $45,669 on average, 12% less than the Wisconsin average of $52,035, and was paid $15,579 against a state average of $14,345. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Marshfield Medical Center charged $71,463 on average, 1% more than the Wisconsin average of $71,020, and was paid $19,808 against a state average of $17,026. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,422 was 36% below the state average of $2,237. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,956 was 27% below the state average of $17,717. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,740 was 57% below the state average of $8,646. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,530 was 26% below the state average of $11,485.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Marshfield Medical Center in Marshfield, 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.