University of Wi Hospitals & Clinics Authority: charges and Medicare payments

University of Wi Hospitals & Clinics Authority reported 7,640 Medicare inpatient stays across 216 DRGs in 2024. Across them it charged 3.7 times what it was paid — mid-range in Wisconsin, number 22 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: 546 stays at an average charge of $100,301, 11% above the national average. It also billed 11,044 outpatient services, charging 6.56 times what Medicare paid.

1Medicare inpatient stays 7,640
2Charge ÷ paid, inpatient 3.7×
3Rank in WI (highest ratio = 1) 22 of 55
4CMS price-transparency actions 0

Average charge per stay at University of Wi Hospitals & Clinics Authority, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 216 DRGs that can be compared with the national average, University of Wi Hospitals & Clinics Authority charged more than the national average in 79 (37%). 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	546	$100,301	+11%	$26,632
291 Heart Failure and Shock with MCC	203	$58,495	+4%	$16,783
177 Respiratory Infections and Inflammations with MCC	187	$77,037	+9%	$20,974
280 Acute Myocardial Infarction, Discharged Alive with MCC	149	$67,251	-11%	$19,678
267 Endovascular Cardiac Valve Replacement and Supplement...	138	$135,118	-39%	$45,491
698 Other Kidney and Urinary Tract Diagnoses with MCC	132	$65,518	-11%	$20,432
330 Major Small and Large Bowel Procedures with CC	101	$113,117	-5%	$28,825
025 Craniotomy and Endovascular Intracranial Procedures with MCC	100	$204,858	-12%	$57,494
699 Other Kidney and Urinary Tract Diagnoses with CC	97	$56,053	+18%	$14,167
193 Simple Pneumonia and Pleurisy with MCC	95	$54,313	-9%	$16,522
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	92	$49,314	+1%	$13,638
470 Major Hip and Knee Joint Replacement or Reattachment of...	90	$69,609	-25%	$20,018
189 Pulmonary Edema and Respiratory Failure	85	$55,416	-4%	$15,339
652 Kidney Transplant	82	$280,753	-17%	$67,840
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	81	$97,786	-2%	$26,048
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	79	$60,888	+1%	$18,204
853 Infectious and Parasitic Diseases with O.R. Procedures with...	78	$245,773	+7%	$69,968
322 Percutaneous Cardiovascular Procedures with Intraluminal...	75	$86,682	-24%	$19,213
690 Kidney and Urinary Tract Infections without MCC	70	$35,715	-6%	$10,522
394 Other Digestive System Diagnoses with CC	68	$40,188	-15%	$11,545
683 Renal Failure with CC	66	$43,795	+8%	$12,736
321 Percutaneous Cardiovascular Procedures with Intraluminal...	65	$126,236	-23%	$31,028
329 Major Small and Large Bowel Procedures with MCC	64	$205,509	-4%	$56,798
091 Other Disorders of Nervous System with MCC	63	$76,684	-7%	$22,236
682 Renal Failure with MCC	63	$58,714	-11%	$18,083
481 Hip and Femur Procedures except Major Joint with CC	62	$117,002	+16%	$24,452
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	60	$37,375	-7%	$10,316
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	58	$64,961	+17%	$13,473
378 Gastrointestinal Hemorrhage with CC	58	$50,442	+4%	$12,871
552 Medical Back Problems without MCC	58	$42,880	-12%	$12,463
689 Kidney and Urinary Tract Infections with MCC	57	$51,872	+1%	$15,581
023 Craniotomy with Major Device Implant or Acute Complex Cns...	56	$251,495	-10%	$69,423
266 Endovascular Cardiac Valve Replacement and Supplement...	56	$234,918	-18%	$67,139
885 Psychoses	56	$54,698	+24%	$24,659
312 Syncope and Collapse	53	$40,228	-12%	$10,644
281 Acute Myocardial Infarction, Discharged Alive with CC	52	$50,540	0%	$11,292
070 Other Cerebrovascular Disorders with MCC	51	$79,488	+5%	$22,858
314 Other Circulatory System Diagnoses with MCC	51	$99,227	+5%	$32,984
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	51	$62,816	+3%	$17,999
164 Major Chest Procedures with CC	50	$106,381	-16%	$27,144
480 Hip and Femur Procedures except Major Joint with MCC	50	$165,846	+20%	$39,427
543 Pathological Fractures and Musculoskeletal and Connective...	47	$63,242	+29%	$14,215
274 Percutaneous and Other Intracardiac Procedures without MCC	45	$100,562	-36%	$31,139
377 Gastrointestinal Hemorrhage with MCC	45	$71,781	-16%	$21,767
101 Seizures without MCC	43	$51,621	+6%	$12,453
467 Revision of Hip or Knee Replacement with CC	43	$111,209	-30%	$34,470
603 Cellulitis without MCC	43	$32,686	-12%	$10,799
166 Other Respiratory System O.R. Procedures with MCC	42	$260,861	+45%	$66,950
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	42	$333,800	-16%	$88,014
542 Pathological Fractures and Musculoskeletal and Connective...	42	$91,643	+15%	$22,993
178 Respiratory Infections and Inflammations with CC	41	$49,452	+9%	$14,335
389 Gastrointestinal Obstruction with CC	41	$39,336	+1%	$11,193
920 Complications of Treatment with CC	41	$59,218	+19%	$14,922
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	40	$65,108	0%	$20,751
205 Other Respiratory System Diagnoses with MCC	40	$81,804	-7%	$24,613
309 Cardiac Arrhythmia and Conduction Disorders with CC	39	$43,404	+20%	$10,109
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$36,954	0%	$10,180
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	39	$58,355	-14%	$14,537
208 Respiratory System Diagnosis with Ventilator Support <=96...	38	$156,529	+15%	$35,366
286 Circulatory Disorders except AMI, with Cardiac...	38	$118,416	+5%	$28,728

Showing the 60 most frequent of 216 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	1,457	$2,823	$624
Level 2 Excision/ Biopsy/ Incision and Drainage	1,125	$10,311	$1,494
Level 3 Urology and Related Services	775	$8,237	$1,846
Level 5 Musculoskeletal Procedures	759	$57,649	$12,187
Level 2 Upper GI Procedures	741	$11,980	$1,761
Level 3 Excision/ Biopsy/ Incision and Drainage	464	$13,503	$2,648
Comprehensive Observation Services	343	$23,594	$2,508
Level 1 Endovascular Procedures	290	$24,948	$3,024
Level 5 Urology and Related Services	289	$29,069	$4,817
Level 4 Musculoskeletal Procedures	288	$36,814	$6,653
Level 1 Laparoscopy and Related Services	266	$40,011	$5,338
Level 4 Airway Endoscopy	261	$21,878	$3,453
Level 3 Electrophysiologic Procedures	252	$101,748	$22,032
Level 3 Airway Endoscopy	236	$8,650	$1,574
Level 2 Intraocular Procedures	226	$19,061	$3,769
Level 5 ENT Procedures	212	$32,670	$5,405
Level 3 Vascular Procedures	211	$23,668	$2,965
Level 2 Musculoskeletal Procedures	189	$8,416	$1,500
Level 2 Breast/Lymphatic Surgery and Related Procedures	184	$41,414	$6,035
Level 3 Extraocular, Repair, and Plastic Eye Procedures	184	$11,967	$2,172
Level 4 Urology and Related Services	176	$17,579	$3,169
Level 6 Musculoskeletal Procedures	164	$83,917	$17,359
Level 2 Laparoscopy and Related Services	164	$73,154	$9,554
Level 3 Musculoskeletal Procedures	163	$18,079	$2,994
Level 1 Intraocular Procedures	128	$12,764	$2,141

Against the Wisconsin average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Wi Hospitals & Clinics Authority charged $100,301 on average, 69% more than the Wisconsin average of $59,481, and was paid $26,632 against a state average of $16,719. For Heart Failure and Shock with MCC (DRG 291), University of Wi Hospitals & Clinics Authority charged $58,495 on average, 48% more than the Wisconsin average of $39,564, and was paid $16,783 against a state average of $10,862. For Respiratory Infections and Inflammations with MCC (DRG 177), University of Wi Hospitals & Clinics Authority charged $77,037 on average, 48% more than the Wisconsin average of $52,035, and was paid $20,974 against a state average of $14,345. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), University of Wi Hospitals & Clinics Authority charged $67,251 on average, 31% more than the Wisconsin average of $51,375, and was paid $19,678 against a state average of $13,995. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,823 was 26% above the state average of $2,237. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,311 was 16% above the state average of $8,908. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,237 was 5% below the state average of $8,646. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,649 was 15% above 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.