Wisconsin / Thedacare Regional Medical Center - Neenah Inc
CMS certification 520045 · Neenah, WI · 1 entry in CMS's price-transparency list
Thedacare Regional Medical Center - Neenah Inc: charges and Medicare payments
Thedacare Regional Medical Center - Neenah Inc reported 395 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 2.66 times what it was paid — among the lower ratios in Wisconsin, number 44 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: 86 stays at an average charge of $38,032, 58% below the national average. It also billed 779 outpatient services, charging 5.37 times what Medicare paid.
- 1Medicare inpatient stays 395
- 2Charge ÷ paid, inpatient 2.66×
- 3Rank in WI (highest ratio = 1) 44 of 55
- 4CMS price-transparency actions 1
Inpatient stays
For the 16 DRGs that can be compared with the national average, Thedacare Regional Medical Center - Neenah Inc 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 | 86 | $38,032 | -58% | $14,316 |
| 481 Hip and Femur Procedures except Major Joint with CC | 39 | $55,997 | -44% | $15,912 |
| 885 Psychoses | 36 | $16,676 | -62% | $9,858 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $22,853 | -59% | $7,684 |
| 291 Heart Failure and Shock with MCC | 27 | $23,113 | -59% | $9,631 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $20,926 | -57% | $7,504 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $25,366 | -64% | $10,751 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $19,514 | -60% | $7,566 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $44,860 | -55% | $15,007 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $65,131 | -45% | $18,730 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $14,742 | -63% | $6,989 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $27,293 | -63% | $11,361 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $65,128 | -72% | $34,989 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $16,241 | -56% | $6,671 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 11 | $92,202 | -60% | $32,548 |
| 683 Renal Failure with CC | 11 | $23,917 | -41% | $7,522 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Intraocular Procedures | 133 | $14,075 | $3,616 |
| Level 2 Upper GI Procedures | 86 | $8,179 | $1,671 |
| Level 3 Urology and Related Services | 79 | $7,092 | $1,804 |
| Level 1 Laparoscopy and Related Services | 70 | $23,544 | $4,987 |
| Comprehensive Observation Services | 53 | $12,607 | $2,329 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 52 | $7,059 | $1,406 |
| Level 4 Vascular Procedures | 42 | $24,116 | $4,917 |
| Level 3 Vascular Procedures | 40 | $12,455 | $2,739 |
| Level 4 Musculoskeletal Procedures | 38 | $23,978 | $6,133 |
| Level 4 Urology and Related Services | 37 | $12,615 | $2,985 |
| Level 2 Laparoscopy and Related Services | 28 | $37,114 | $9,206 |
| Level 5 Urology and Related Services | 28 | $20,209 | $4,630 |
| Level 4 Gynecologic Procedures | 20 | $9,992 | $2,686 |
| Level 2 Vascular Procedures | 19 | $6,044 | $1,373 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $14,300 | $2,543 |
| Level 5 Musculoskeletal Procedures | 14 | $35,013 | $11,761 |
| Level 2 Urology and Related Services | 12 | $2,161 | $544 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $12,005 | $2,880 |
Against the Wisconsin average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Thedacare Regional Medical Center - Neenah Inc charged $38,032 on average, 36% less than the Wisconsin average of $59,481, and was paid $14,316 against a state average of $16,719. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Thedacare Regional Medical Center - Neenah Inc charged $55,997 on average, 21% less than the Wisconsin average of $71,020, and was paid $15,912 against a state average of $17,026. For Psychoses (DRG 885), Thedacare Regional Medical Center - Neenah Inc charged $16,676 on average, 40% less than the Wisconsin average of $27,914, and was paid $9,858 against a state average of $12,682. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Thedacare Regional Medical Center - Neenah Inc charged $22,853 on average, 44% less than the Wisconsin average of $40,982, and was paid $7,684 against a state average of $8,801. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $14,075 was 33% below the state average of $21,027. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,179 was 30% below the state average of $11,645. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,092 was 18% below the state average of $8,646. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $23,544 was 28% below the state average of $32,513.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Thedacare Regional Medical Center - Neenah Inc in Neenah, WI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-03-11 (CMS case 7236)
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.