Wisconsin / Mile Bluff Medical Center
CMS certification 520109 · Mauston, WI
Mile Bluff Medical Center: charges and Medicare payments
Mile Bluff Medical Center reported 70 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 2.94 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 37 stays at an average charge of $44,240, 51% below the national average. It also billed 383 outpatient services, charging 6.31 times what Medicare paid.
- 1Medicare inpatient stays 70
- 2Charge ÷ paid, inpatient 2.94×
- 3Rank in WI (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 3 DRGs that can be compared with the national average, Mile Bluff Medical Center 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 | 37 | $44,240 | -51% | $17,784 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $42,003 | -14% | $9,438 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $38,341 | -36% | $12,003 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 95 | $25,134 | $2,623 |
| Level 1 Intraocular Procedures | 73 | $9,139 | $2,233 |
| Level 1 Nerve Procedures | 58 | $9,442 | $1,850 |
| Level 5 Musculoskeletal Procedures | 31 | $45,421 | $12,594 |
| Level 2 Urology and Related Services | 31 | $2,917 | $655 |
| Level 3 Musculoskeletal Procedures | 26 | $12,408 | $3,007 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 24 | $7,544 | $1,502 |
| Level 4 Musculoskeletal Procedures | 15 | $24,098 | $6,856 |
| Level 1 Laparoscopy and Related Services | 15 | $29,123 | $5,530 |
| Level 3 Urology and Related Services | 15 | $6,546 | $1,952 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mile Bluff Medical Center charged $44,240 on average, 26% less than the Wisconsin average of $59,481, and was paid $17,784 against a state average of $16,719. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mile Bluff Medical Center charged $42,003 on average, 23% more than the Wisconsin average of $34,158, and was paid $9,438 against a state average of $8,925. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mile Bluff Medical Center charged $38,341 on average, 4% less than the Wisconsin average of $40,070, and was paid $12,003 against a state average of $11,231. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,134 was 42% above the state average of $17,717. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,139 was 20% below the state average of $11,485. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,442 was 1% above the state average of $9,348. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,421 was 10% below the state average of $50,282.
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.