Prohealth Oconomowoc Memorial Hospital

791 E Summit Ave · Oconomowoc, WI 53066

🤖AI Overview

⚠️ This hospital charges 5.3x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$37.5M

Medicare Payments

$7.0M

Discharges

847

Avg Length of Stay

3.3 days

Markup Ratio

5.3x

Risk Score

1.80

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Prohealth Oconomowoc Memorial Hospital charges an average of $44,234 per discharge, but Medicare only pays $8,270 — a markup of 5.3x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

5.3x

State Avg

4.5x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$44,234

State Avg

$63,361

National Avg

$69,838

Avg Length of Stay

This Hospital

3.3 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

8.3%

65–74

29.7%

75–84

33.1%

85+

28.9%

Gender

53.1%

Female

46.9%

Male

Dual Eligibility

12.4%

Dual Eligible

87.6%

Non-Dual

Race & Ethnicity

White

94.9%

Other

4.7%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

53.5%

Chronic Kidney Disease

50.2%

Ischemic Heart Disease

45.6%

Heart Failure

39.6%

Mood Disorders

38.8%

Atrial Fibrillation

38.0%

Depression

37.1%

Anxiety

34.0%

Diabetes

31.8%

Cancer

22.5%

Alzheimer's/Dementia

21.5%

COPD

21.4%

Osteoporosis

18.0%

Asthma

16.9%

Stroke/TIA

16.4%

Tobacco Use

12.0%

Substance Use

9.8%

Bipolar Disorder

6.7%

Parkinson's

4.0%

Schizophrenia/Psychosis

2.9%

Personality Disorders

2.6%

PTSD

2.3%

ADHD/Conduct Disorders

1.9%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.