Ssm Health St Mary's Hospital - Madison

700 South Park St · Madison, WI 53715

🤖AI Overview

⚠️ This hospital charges 4.7x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$451.3M

Medicare Payments

$95.7M

Discharges

6,573

Avg Length of Stay

5.5 days

Markup Ratio

4.7x

Risk Score

1.73

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Ssm Health St Mary's Hospital - Madison charges an average of $68,659 per discharge, but Medicare only pays $14,557 — a markup of 4.7x. 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

4.7x

State Avg

4.5x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$68,659

State Avg

$63,361

National Avg

$69,838

Avg Length of Stay

This Hospital

5.5 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

7.3%

65–74

30.1%

75–84

37.4%

85+

25.2%

Gender

52.6%

Female

47.4%

Male

Dual Eligibility

15.7%

Dual Eligible

84.3%

Non-Dual

Race & Ethnicity

White

93.9%

Black

1.6%

Hispanic

1.0%

Asian

0.7%

Native American

0.3%

Other

2.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Ischemic Heart Disease

45.7%

Heart Failure

39.9%

Arthritis

39.4%

Diabetes

39.0%

Chronic Kidney Disease

37.7%

Atrial Fibrillation

37.2%

Mood Disorders

33.4%

Depression

30.3%

Anxiety

30.1%

COPD

22.3%

Cancer

20.8%

Osteoporosis

18.9%

Alzheimer's/Dementia

16.9%

Stroke/TIA

16.5%

Tobacco Use

13.2%

Asthma

13.1%

Substance Use

9.3%

Bipolar Disorder

8.4%

Parkinson's

2.9%

Schizophrenia/Psychosis

2.5%

Personality Disorders

2.0%

PTSD

1.8%

ADHD/Conduct Disorders

1.6%

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.