Wisconsin / Marshfield Medical Center - Rice Lake
CMS certification 520011 · Rice Lake, WI · 1 entry in CMS's price-transparency list
Marshfield Medical Center - Rice Lake: charges and Medicare payments
Marshfield Medical Center - Rice Lake reported 174 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.74 times what it was paid — among the lower ratios in Wisconsin, number 55 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: 55 stays at an average charge of $24,938, 72% below the national average. It also billed 399 outpatient services, charging 4.79 times what Medicare paid.
- 1Medicare inpatient stays 174
- 2Charge ÷ paid, inpatient 1.74×
- 3Rank in WI (highest ratio = 1) 55 of 55
- 4CMS price-transparency actions 1
Inpatient stays
For the 7 DRGs that can be compared with the national average, Marshfield Medical Center - Rice Lake 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 55 | $24,938 | -72% | $16,666 |
| 291 Heart Failure and Shock with MCC | 43 | $21,414 | -62% | $10,937 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $21,632 | -64% | $11,164 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $18,114 | -63% | $9,006 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $27,222 | -61% | $14,667 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $19,858 | -74% | $13,544 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $15,328 | -58% | $6,645 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 81 | $12,294 | $2,597 |
| Level 1 Nerve Procedures | 80 | $6,789 | $1,850 |
| Level 1 Intraocular Procedures | 48 | $8,412 | $2,159 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $4,501 | $1,554 |
| Level 3 Vascular Procedures | 27 | $14,600 | $3,055 |
| Level 1 Laparoscopy and Related Services | 23 | $16,781 | $5,530 |
| Level 2 Musculoskeletal Procedures | 21 | $7,002 | $1,540 |
| Level 3 Pacemaker and Similar Procedures | 19 | $50,794 | $10,224 |
| Level 3 Musculoskeletal Procedures | 18 | $10,300 | $3,102 |
| Level 4 Musculoskeletal Procedures | 18 | $27,003 | $6,856 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $7,254 | $2,723 |
| Level 6 Musculoskeletal Procedures | 12 | $55,900 | $17,819 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Marshfield Medical Center - Rice Lake charged $24,938 on average, 58% less than the Wisconsin average of $59,481, and was paid $16,666 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Marshfield Medical Center - Rice Lake charged $21,414 on average, 46% less than the Wisconsin average of $39,564, and was paid $10,937 against a state average of $10,862. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Marshfield Medical Center - Rice Lake charged $21,632 on average, 46% less than the Wisconsin average of $40,070, and was paid $11,164 against a state average of $11,231. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Marshfield Medical Center - Rice Lake charged $18,114 on average, 47% less than the Wisconsin average of $34,158, and was paid $9,006 against a state average of $8,925. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,294 was 31% below the state average of $17,717. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,789 was 27% below the state average of $9,348. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,412 was 27% below the state average of $11,485. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,501 was 49% below the state average of $8,908.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Marshfield Medical Center - Rice Lake in Rice Lake, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-15 (CMS case 5600)
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.