Prohealth Waukesha Memorial Hospital

725 American Ave · Waukesha, WI 53188

🤖AI Overview

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

Total Charges

$182.6M

Medicare Payments

$33.0M

Discharges

3,175

Avg Length of Stay

4.1 days

Markup Ratio

5.5x

Risk Score

1.91

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Prohealth Waukesha Memorial Hospital charges an average of $57,521 per discharge, but Medicare only pays $10,404 — a markup of 5.5x. 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

5.5x

State Avg

4.5x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$57,521

State Avg

$63,361

National Avg

$69,838

Avg Length of Stay

This Hospital

4.1 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

8.1%

65–74

32.1%

75–84

33.6%

85+

26.2%

Gender

53.5%

Female

46.5%

Male

Dual Eligibility

15.0%

Dual Eligible

85.0%

Non-Dual

Race & Ethnicity

White

92.7%

Black

0.9%

Hispanic

2.0%

Asian

0.5%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Chronic Kidney Disease

52.3%

Arthritis

51.8%

Ischemic Heart Disease

49.5%

Heart Failure

41.3%

Atrial Fibrillation

39.6%

Mood Disorders

38.3%

Anxiety

37.3%

Diabetes

36.1%

Depression

35.2%

COPD

24.9%

Cancer

23.9%

Alzheimer's/Dementia

21.8%

Osteoporosis

17.4%

Asthma

15.6%

Stroke/TIA

15.5%

Tobacco Use

14.1%

Substance Use

9.7%

Bipolar Disorder

5.8%

Schizophrenia/Psychosis

4.3%

Parkinson's

3.5%

ADHD/Conduct Disorders

2.1%

PTSD

2.0%

Personality 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.