Unitypoint Health - Meriter: charges and Medicare payments

Unitypoint Health - Meriter reported 2,597 Medicare inpatient stays across 81 DRGs in 2024. Across them it charged 4.45 times what it was paid — among the higher ratios in Wisconsin, number 11 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: 306 stays at an average charge of $77,351, 14% below the national average. It also billed 2,875 outpatient services, charging 7.39 times what Medicare paid.

1Medicare inpatient stays 2,597
2Charge ÷ paid, inpatient 4.45×
3Rank in WI (highest ratio = 1) 11 of 55
4CMS price-transparency actions 0

Average charge per stay at Unitypoint Health - Meriter, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 81 DRGs that can be compared with the national average, Unitypoint Health - Meriter charged more than the national average in 9 (11%). 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	306	$77,351	-14%	$16,855
291 Heart Failure and Shock with MCC	179	$47,059	-17%	$10,542
177 Respiratory Infections and Inflammations with MCC	90	$62,869	-11%	$13,946
189 Pulmonary Edema and Respiratory Failure	76	$65,873	+14%	$10,303
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	71	$31,081	-23%	$6,523
280 Acute Myocardial Infarction, Discharged Alive with MCC	70	$67,902	-10%	$14,330
378 Gastrointestinal Hemorrhage with CC	69	$29,978	-38%	$8,064
193 Simple Pneumonia and Pleurisy with MCC	67	$61,421	+3%	$12,123
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	54	$34,966	-29%	$8,827
698 Other Kidney and Urinary Tract Diagnoses with MCC	49	$51,891	-29%	$13,904
853 Infectious and Parasitic Diseases with O.R. Procedures with...	48	$164,066	-28%	$45,002
690 Kidney and Urinary Tract Infections without MCC	47	$25,072	-34%	$6,552
309 Cardiac Arrhythmia and Conduction Disorders with CC	45	$26,613	-26%	$6,734
603 Cellulitis without MCC	44	$30,581	-18%	$7,638
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	42	$34,175	-39%	$8,254
312 Syncope and Collapse	39	$30,428	-33%	$6,897
377 Gastrointestinal Hemorrhage with MCC	36	$60,591	-29%	$14,327
683 Renal Failure with CC	36	$32,381	-20%	$7,318
322 Percutaneous Cardiovascular Procedures with Intraluminal...	35	$93,307	-19%	$14,544
329 Major Small and Large Bowel Procedures with MCC	34	$162,996	-24%	$39,025
308 Cardiac Arrhythmia and Conduction Disorders with MCC	33	$46,811	-17%	$9,801
617 Amputation of Lower Limb for Endocrine, Nutritional and...	33	$51,368	-41%	$17,199
682 Renal Failure with MCC	33	$49,170	-25%	$12,224
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$30,022	-19%	$6,583
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	31	$55,680	-44%	$14,520
286 Circulatory Disorders except AMI, with Cardiac...	31	$94,433	-16%	$17,994
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	31	$24,087	-16%	$5,156
394 Other Digestive System Diagnoses with CC	31	$27,802	-41%	$8,274
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	30	$79,910	-22%	$16,435
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$50,511	-16%	$11,509
287 Circulatory Disorders except AMI, with Cardiac...	28	$50,122	-22%	$8,845
552 Medical Back Problems without MCC	28	$29,596	-39%	$7,709
281 Acute Myocardial Infarction, Discharged Alive with CC	27	$42,800	-15%	$7,390
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	27	$25,781	-30%	$7,537
699 Other Kidney and Urinary Tract Diagnoses with CC	26	$31,851	-33%	$8,581
330 Major Small and Large Bowel Procedures with CC	25	$76,865	-35%	$18,300
389 Gastrointestinal Obstruction with CC	25	$41,991	+8%	$6,537
314 Other Circulatory System Diagnoses with MCC	24	$86,210	-9%	$18,363
481 Hip and Femur Procedures except Major Joint with CC	24	$73,589	-27%	$16,384
480 Hip and Femur Procedures except Major Joint with MCC	23	$114,726	-17%	$23,327
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$40,970	-33%	$10,583
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	20	$29,221	-31%	$6,920
689 Kidney and Urinary Tract Infections with MCC	20	$36,531	-29%	$9,118
372 Major Gastrointestinal Disorders and Peritoneal Infections...	19	$30,481	-36%	$8,459
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	18	$46,329	-29%	$11,926
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	18	$59,055	-32%	$15,360
178 Respiratory Infections and Inflammations with CC	17	$39,109	-14%	$8,106
253 Other Vascular Procedures with CC	17	$90,332	-31%	$21,376
811 Red Blood Cell Disorders with MCC	17	$42,943	-37%	$11,260
194 Simple Pneumonia and Pleurisy with CC	16	$27,507	-28%	$6,660
202 Bronchitis and Asthma with CC/MCC	16	$45,159	-2%	$7,887
638 Diabetes with CC	16	$37,448	-10%	$7,436
252 Other Vascular Procedures with MCC	15	$97,013	-43%	$26,901
393 Other Digestive System Diagnoses with MCC	15	$82,521	+7%	$18,630
432 Cirrhosis and Alcoholic Hepatitis with MCC	15	$62,237	-35%	$15,558
673 Other Kidney and Urinary Tract Procedures with MCC	15	$90,512	-48%	$29,638
854 Infectious and Parasitic Diseases with O.R. Procedures with...	15	$59,752	-39%	$16,389
057 Degenerative Nervous System Disorders without MCC	14	$36,034	-36%	$10,577
190 Chronic Obstructive Pulmonary Disease with MCC	14	$61,512	+22%	$9,720
418 Laparoscopic Cholecystectomy without C.D.E. with CC	14	$58,586	-37%	$13,454

Showing the 60 most frequent of 81 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	398	$21,650	$2,530
Level 5 Urology and Related Services	232	$26,779	$4,797
Level 1 Endovascular Procedures	192	$26,226	$3,001
Level 1 Laparoscopy and Related Services	161	$30,430	$5,333
Level 3 Vascular Procedures	148	$21,081	$2,929
Level 2 Endovascular Procedures	141	$34,457	$5,328
Level 2 Upper GI Procedures	127	$10,526	$1,776
Level 4 Urology and Related Services	120	$19,261	$3,211
Level 4 Gynecologic Procedures	95	$18,733	$2,918
Level 3 Pacemaker and Similar Procedures	88	$59,869	$9,960
Level 5 Musculoskeletal Procedures	85	$58,691	$12,146
Level 3 Endovascular Procedures	84	$73,500	$10,158
Level 3 Urology and Related Services	84	$14,762	$1,901
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	76	$21,589	$3,230
Level 4 Musculoskeletal Procedures	75	$37,556	$6,607
Level 3 Musculoskeletal Procedures	67	$16,145	$3,022
Level 5 Gynecologic Procedures	57	$22,760	$4,643
Level 2 Vascular Procedures	54	$9,685	$1,495
Level 2 Excision/ Biopsy/ Incision and Drainage	49	$14,777	$1,498
Level 2 Pacemaker and Similar Procedures	48	$39,980	$7,931
Level 4 Airway Endoscopy	47	$19,309	$3,496
Level 2 Laparoscopy and Related Services	46	$55,899	$9,429
Level 2 Musculoskeletal Procedures	42	$13,345	$1,482
Level 6 Gynecologic Procedures	42	$31,244	$7,054
Level 3 Lower GI Procedures	36	$12,526	$2,621

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Unitypoint Health - Meriter charged $77,351 on average, 30% more than the Wisconsin average of $59,481, and was paid $16,855 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), Unitypoint Health - Meriter charged $47,059 on average, 19% more than the Wisconsin average of $39,564, and was paid $10,542 against a state average of $10,862. For Respiratory Infections and Inflammations with MCC (DRG 177), Unitypoint Health - Meriter charged $62,869 on average, 21% more than the Wisconsin average of $52,035, and was paid $13,946 against a state average of $14,345. For Pulmonary Edema and Respiratory Failure (DRG 189), Unitypoint Health - Meriter charged $65,873 on average, 63% more than the Wisconsin average of $40,535, and was paid $10,303 against a state average of $10,823. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,650 was 22% above the state average of $17,717. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $26,779 was 5% above the state average of $25,384. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,226 was 10% above the state average of $23,760. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $30,430 was 6% below the state average of $32,513.

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.