Wisconsin / Mayo Clinic Health System in Eau Claire

CMS certification 520070 · Eau Claire, WI

Mayo Clinic Health System in Eau Claire: charges and Medicare payments

Mayo Clinic Health System in Eau Claire reported 3,670 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 3.23 times what it was paid — mid-range in Wisconsin, number 34 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: 299 stays at an average charge of $59,879, 34% below the national average. It also billed 5,295 outpatient services, charging 4.08 times what Medicare paid.

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  1. 1Medicare inpatient stays 3,670
  2. 2Charge ÷ paid, inpatient 3.23×
  3. 3Rank in WI (highest ratio = 1) 34 of 55
  4. 4CMS price-transparency actions 0
DRG 871$59,879DRG 291$38,794DRG 885$22,379DRG 177$46,684DRG 378$29,225DRG 481$53,723DRG 193$35,147DRG 309$18,673DRG 853$118,419DRG 872$28,060
Average charge per stay at Mayo Clinic Health System in Eau Claire, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 110 DRGs that can be compared with the national average, Mayo Clinic Health System in Eau Claire charged more than the national average in 2 (2%). 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 MCC299$59,879-34%$16,754
291 Heart Failure and Shock with MCC267$38,794-31%$10,822
885 Psychoses169$22,379-49%$11,197
177 Respiratory Infections and Inflammations with MCC109$46,684-34%$13,729
378 Gastrointestinal Hemorrhage with CC93$29,225-40%$7,885
481 Hip and Femur Procedures except Major Joint with CC81$53,723-47%$15,530
193 Simple Pneumonia and Pleurisy with MCC74$35,147-41%$10,459
309 Cardiac Arrhythmia and Conduction Disorders with CC64$18,673-48%$6,379
853 Infectious and Parasitic Diseases with O.R. Procedures with...62$118,419-48%$45,651
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC62$28,060-43%$9,032
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...55$24,402-39%$6,424
321 Percutaneous Cardiovascular Procedures with Intraluminal...54$90,707-45%$26,467
698 Other Kidney and Urinary Tract Diagnoses with MCC54$45,170-38%$13,197
267 Endovascular Cardiac Valve Replacement and Supplement...52$98,729-55%$36,623
322 Percutaneous Cardiovascular Procedures with Intraluminal...50$64,821-43%$13,999
683 Renal Failure with CC48$26,378-35%$7,770
690 Kidney and Urinary Tract Infections without MCC45$21,828-42%$6,832
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...44$40,156-28%$9,204
603 Cellulitis without MCC44$25,234-32%$7,854
280 Acute Myocardial Infarction, Discharged Alive with MCC43$47,398-37%$12,212
682 Renal Failure with MCC41$36,256-45%$12,528
178 Respiratory Infections and Inflammations with CC40$31,634-30%$7,882
190 Chronic Obstructive Pulmonary Disease with MCC40$35,319-30%$10,717
377 Gastrointestinal Hemorrhage with MCC40$44,916-47%$13,745
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...40$32,839-46%$13,372
689 Kidney and Urinary Tract Infections with MCC38$32,865-36%$9,132
522 Hip Replacement with Principal Diagnosis of Hip Fracture...37$51,808-49%$16,297
253 Other Vascular Procedures with CC36$75,943-42%$21,617
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...36$22,133-40%$8,636
064 Intracranial Hemorrhage or Cerebral Infarction with MCC34$63,901-36%$18,952
194 Simple Pneumonia and Pleurisy with CC33$25,157-34%$6,923
308 Cardiac Arrhythmia and Conduction Disorders with MCC33$49,297-13%$11,210
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC33$14,500-50%$5,107
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...33$26,319-29%$7,715
330 Major Small and Large Bowel Procedures with CC32$75,242-37%$20,730
470 Major Hip and Knee Joint Replacement or Reattachment of...32$39,396-58%$14,468
274 Percutaneous and Other Intracardiac Procedures without MCC30$83,025-47%$24,364
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale29$45,972-29%$13,210
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...29$40,117-34%$10,984
281 Acute Myocardial Infarction, Discharged Alive with CC28$33,572-34%$8,408
038 Extracranial Procedures with CC27$40,107-54%$12,319
189 Pulmonary Edema and Respiratory Failure27$41,278-28%$12,346
220 Cardiac Valve and Other Major Cardiothoracic Procedures...27$154,220-44%$47,017
394 Other Digestive System Diagnoses with CC27$28,643-39%$8,327
314 Other Circulatory System Diagnoses with MCC26$58,629-38%$18,068
480 Hip and Femur Procedures except Major Joint with MCC26$85,581-38%$23,641
543 Pathological Fractures and Musculoskeletal and Connective...26$33,191-32%$8,335
552 Medical Back Problems without MCC26$28,847-41%$7,872
884 Organic Disturbances and Intellectual Disability26$39,247-37%$14,179
208 Respiratory System Diagnosis with Ventilator Support <=96...25$84,928-37%$23,931
287 Circulatory Disorders except AMI, with Cardiac...25$39,627-38%$8,520
329 Major Small and Large Bowel Procedures with MCC25$131,350-39%$41,318
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...25$22,527-67%$9,626
699 Other Kidney and Urinary Tract Diagnoses with CC24$29,231-38%$9,608
057 Degenerative Nervous System Disorders without MCC23$36,522-36%$10,107
389 Gastrointestinal Obstruction with CC22$26,706-31%$6,488
164 Major Chest Procedures with CC21$79,002-38%$22,730
236 Coronary Bypass without Cardiac Catheterization without MCC21$119,787-43%$36,684
312 Syncope and Collapse21$30,100-34%$7,181
269 Aortic and Heart Assist Procedures except Pulsation Balloon...20$106,707-45%$43,208

Showing the 60 most frequent of 110 DRGs.

Outpatient services

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mayo Clinic Health System in Eau Claire charged $59,879 on average, 1% more than the Wisconsin average of $59,481, and was paid $16,754 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Mayo Clinic Health System in Eau Claire charged $38,794 on average, 2% less than the Wisconsin average of $39,564, and was paid $10,822 against a state average of $10,862. For Psychoses (DRG 885), Mayo Clinic Health System in Eau Claire charged $22,379 on average, 20% less than the Wisconsin average of $27,914, and was paid $11,197 against a state average of $12,682. For Respiratory Infections and Inflammations with MCC (DRG 177), Mayo Clinic Health System in Eau Claire charged $46,684 on average, 10% less than the Wisconsin average of $52,035, and was paid $13,729 against a state average of $14,345. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,182 was 47% below the state average of $2,237. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,578 was 37% below the state average of $8,908. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,076 was 64% below the state average of $8,646. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,129 was 2% below the state average of $9,348.

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.