Ssm Health St Mary's Hospital - Janesville

3400 East Racine Street · Janesville, WI 53546

🤖AI Overview

⚠️ This hospital charges 5.0x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$42.2M

Medicare Payments

$8.4M

Discharges

994

Avg Length of Stay

4.0 days

Markup Ratio

5.0x

Risk Score

1.77

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Ssm Health St Mary's Hospital - Janesville charges an average of $42,421 per discharge, but Medicare only pays $8,488 — a markup of 5.0x. 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

5.0x

State Avg

4.5x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$42,421

State Avg

$63,361

National Avg

$69,838

Avg Length of Stay

This Hospital

4.0 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.1%

65–74

23.8%

75–84

37.0%

85+

30.0%

Gender

56.1%

Female

43.9%

Male

Dual Eligibility

18.7%

Dual Eligible

81.3%

Non-Dual

Race & Ethnicity

White

97.5%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

74.4%

Heart Failure

46.0%

Ischemic Heart Disease

42.3%

Diabetes

40.5%

Chronic Kidney Disease

40.5%

Arthritis

40.3%

Mood Disorders

40.0%

Atrial Fibrillation

38.7%

Depression

37.3%

Anxiety

33.1%

COPD

27.7%

Cancer

22.1%

Alzheimer's/Dementia

19.0%

Osteoporosis

15.7%

Stroke/TIA

14.8%

Tobacco Use

12.5%

Asthma

12.1%

Substance Use

7.6%

Bipolar Disorder

7.1%

Parkinson's

3.8%

Personality Disorders

2.0%

PTSD

1.8%

Schizophrenia/Psychosis

1.7%

ADHD/Conduct Disorders

1.1%

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.