Wisconsin / Sauk Prairie Hospital
CMS certification 520095 · Prairie Du Sac, WI · 1 entry in CMS's price-transparency list
Sauk Prairie Hospital: charges and Medicare payments
Sauk Prairie Hospital reported 94 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 2.91 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 54 stays at an average charge of $39,268, 57% below the national average. It also billed 1,459 outpatient services, charging 3.19 times what Medicare paid.
- 1Medicare inpatient stays 94
- 2Charge ÷ paid, inpatient 2.91×
- 3Rank in WI (highest ratio = 1) –
- 4CMS price-transparency actions 1
Inpatient stays
For the 3 DRGs that can be compared with the national average, Sauk Prairie 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 54 | $39,268 | -57% | $14,855 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $29,727 | -39% | $8,499 |
| 291 Heart Failure and Shock with MCC | 16 | $34,441 | -39% | $9,808 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 659 | $28,099 | $11,968 |
| Comprehensive Observation Services | 103 | $22,505 | $2,452 |
| Level 1 Intraocular Procedures | 86 | $10,184 | $2,107 |
| Level 4 Musculoskeletal Procedures | 76 | $19,018 | $6,457 |
| Level 6 Musculoskeletal Procedures | 75 | $40,996 | $16,751 |
| Level 2 Urology and Related Services | 73 | $417 | $623 |
| Level 1 Nerve Procedures | 72 | $6,859 | $1,741 |
| Level 3 Musculoskeletal Procedures | 62 | $13,171 | $2,914 |
| Level 2 Musculoskeletal Procedures | 52 | $6,403 | $1,465 |
| Level 1 Laparoscopy and Related Services | 50 | $20,113 | $5,177 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 35 | $5,650 | $1,478 |
| Level 2 Upper GI Procedures | 29 | $7,445 | $1,735 |
| Level 4 Urology and Related Services | 27 | $12,326 | $3,179 |
| Level 3 Urology and Related Services | 24 | $7,161 | $1,857 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $10,997 | $2,483 |
| Level 3 Vascular Procedures | 12 | $12,814 | $2,906 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $15,182 | $3,154 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sauk Prairie Hospital charged $39,268 on average, 34% less than the Wisconsin average of $59,481, and was paid $14,855 against a state average of $16,719. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sauk Prairie Hospital charged $29,727 on average, 13% less than the Wisconsin average of $34,158, and was paid $8,499 against a state average of $8,925. For Heart Failure and Shock with MCC (DRG 291), Sauk Prairie Hospital charged $34,441 on average, 13% less than the Wisconsin average of $39,564, and was paid $9,808 against a state average of $10,862. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $28,099 was 44% below the state average of $50,282. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,505 was 27% above the state average of $17,717. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,184 was 11% below the state average of $11,485. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $19,018 was 42% below the state average of $32,813.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sauk Prairie Hospital in Prairie Du Sac, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-03-06 (CMS case 7188)
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.