💊ClearPrices
D

St Nicholas Hospital

3100 Superior Ave · Sheboygan, WI 53081

🤖AI Overview

⚠️ This hospital charges 4.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$13.4M
Medicare Payments
$3.0M
Discharges
340
Avg Length of Stay
4.0 days
Markup Ratio
4.5x
Risk Score
1.65

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

St Nicholas Hospital charges an average of $39,364 per discharge, but Medicare only pays $8,789 — a markup of 4.5x. 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
4.5x
State Avg
4.5x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$39,364
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
10.2%
65–74
29.8%
75–84
36.4%
85+
23.6%

Gender

54.2%
Female
45.8%
Male

Dual Eligibility

20.0%
Dual Eligible
80.0%
Non-Dual

Race & Ethnicity

White
92.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Chronic Kidney Disease
46.9%
Arthritis
46.5%
Mood Disorders
37.8%
Diabetes
37.1%
Anxiety
35.6%
Ischemic Heart Disease
34.9%
Depression
34.5%
Heart Failure
32.0%
Atrial Fibrillation
32.0%
COPD
28.0%
Alzheimer's/Dementia
21.8%
Cancer
21.4%
Osteoporosis
18.9%
Stroke/TIA
15.6%
Tobacco Use
15.3%
Asthma
12.0%
Substance Use
12.0%
Bipolar Disorder
4.4%
Schizophrenia/Psychosis
3.3%
Parkinson's
2.5%
PTSD
1.8%
ADHD/Conduct Disorders
1.8%
Personality Disorders
1.4%
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.