States / Wisconsin
WI · 68 hospitals · #36 of 51 by charge gap
Hospital prices in Wisconsin
64 Wisconsin hospitals reported 64,901 Medicare inpatient stays in 2024. The median hospital charged 3.47 times what it was paid — below the national median of 4.15×, number 36 of 51. The widest gap was at Mercy Health System Corp (5.09×), the narrowest at Marshfield Medical Center - Rice Lake (1.74×). CMS's price-transparency list records 211 enforcement actions involving 112 Wisconsin hospitals.
- 1Median charge ÷ paid 3.47×
- 2Hospitals reporting 68
- 3Medicare inpatient stays 64,901
- 4Price-transparency actions 211
Most common stays in Wisconsin
| DRG | Stays | WI avg charge | US avg charge | WI avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with... | 7,778 | $59,481 | $90,297 | $16,719 |
| 291 Heart Failure and Shock with MCC | 4,850 | $39,564 | $56,380 | $10,862 |
| 177 Respiratory Infections and Inflammations with MCC | 1,870 | $52,035 | $70,592 | $14,345 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without... | 1,778 | $34,158 | $49,049 | $8,925 |
| 193 Simple Pneumonia and Pleurisy with MCC | 1,776 | $40,070 | $59,757 | $11,231 |
| 189 Pulmonary Edema and Respiratory Failure | 1,552 | $40,535 | $57,570 | $10,823 |
| 378 Gastrointestinal Hemorrhage with CC | 1,310 | $33,159 | $48,550 | $8,357 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 1,191 | $51,375 | $75,821 | $13,995 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 1,130 | $46,805 | $73,427 | $14,091 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 1,082 | $28,612 | $40,165 | $6,914 |
Every hospital
Price-transparency enforcement in Wisconsin
100 “met requirements” findings, 46 warning notices, 46 closure notices, 18 corrective-action-plan requests, 1 administrative closure — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.
Sources: CMS Medicare Inpatient 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.