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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
City |
Hospital Name |
Average IP Daily Charge Based on Gross Inpatient Revenue* |
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|
|
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Amery |
Amery Regional Medical Center |
2,089.80 |
||
Antigo |
Langlade Memorial Hospital |
2,138.75 |
||
Appleton |
Appleton Medical Center |
2,619.86 |
||
Appleton |
St. Elizabeth Hospital |
2,116.37 |
||
Arcadia |
Franciscan Skemp Healthcare-Arcadia |
3,092.15 |
||
Ashland |
Memorial Medical Center, Inc. |
1,482.73 |
||
Baldwin |
Baldwin Area Medical Center, Inc. |
2,533.16 |
||
Baraboo |
St. Clare Hospital and Health Services |
2,179.26 |
||
Barron |
Barron Medical Center, Mayo Health System |
1,954.05 |
||
Beaver Dam |
Beaver Dam Community Hospitals, Inc. |
2,668.64 |
||
Beloit |
Beloit Memorial Hospital, Inc. |
2,372.91 |
||
Berlin |
Berlin Memorial Hospital |
2,281.50 |
||
Black River Falls |
Black River Memorial Hospital |
2,008.27 |
||
Bloomer |
Bloomer Medical Center, Mayo Health System, Inc. |
2,650.71 |
||
Boscobel |
Boscobel Area Health Care |
2,223.16 |
||
Brookfield |
Elmbrook Memorial Hospital |
2,939.91 |
||
Burlington |
Memorial Hospital Corporation of Burlington |
3,388.85 |
||
Chilton |
Calumet Medical Center, Inc. |
2,275.09 |
||
Chippewa Falls |
St. Joseph's Hospital |
1,328.26 |
||
Columbus |
Columbus Community Hospital, Inc. |
2,189.11 |
||
Cumberland |
Cumberland Memorial Hospital and ECU |
1,401.31 |
||
Darlington |
Memorial Hospital of Lafayette County |
2,176.27 |
||
Dodgeville |
Upland Hills Health |
2,319.07 |
||
Durand |
Chippewa Valley Hospital |
4,079.93 |
||
Eagle River |
Eagle River Memorial Hospital, Inc. |
2,089.94 |
||
Eau Claire |
Luther Hospital |
2,856.90 |
||
Eau Claire |
Sacred Heart Hospital |
2,048.11 |
||
Edgerton |
Memorial Community Hospital |
4,277.41 |
||
Elkhorn |
Lakeland Medical Center, Inc. |
2,818.54 |
||
Fond du Lac |
Agnesian HealthCare, Inc. |
2,038.43 |
||
Fond Du Lac |
Fond du Lac County Department of Com. Prog. |
542.75 |
||
Fort Atkinson |
Fort Atkinson Memorial Health Services |
1,611.49 |
||
Friendship |
Adams County Memorial Hospital |
2,122.78 |
||
Grantsburg |
Burnett Medical Center, Inc. |
2,463.85 |
||
Green Bay |
Bellin Memorial Hospital |
3,203.79 |
||
Green Bay |
Bellin Psychiatric Center |
1,127.78 |
||
Green Bay |
Brown County Mental Health Center |
604.30 |
||
Green Bay |
Libertas Treatment Center |
599.69 |
||
Green Bay |
St. Mary's Hospital Medical Center |
2,150.08 |
||
Green Bay |
St. Vincent Hospital |
2,181.42 |
||
Greenfield |
Kindred Hospital-Milwaukee |
2,863.08 |
||
Hartford |
Aurora Medical Center |
1,951.60 |
||
Hayward |
Hayward Area Memorial Hospital |
2,499.17 |
||
Hillsboro |
St. Joseph's Comm. Health Services, Inc. |
3,214.87 |
||
Hudson |
Hudson Hospital |
3,123.36 |
||
Janesville |
Mercy Health System Corporation |
2,959.12 |
||
Janesville |
Rock County Psychiatric Hospital |
627.07 |
||
Kenosha |
Aurora Medical Center - Kenosha |
3,394.71 |
||
Kenosha |
Children's Hospital of WI, Inc. - Kenosha |
1,583.90 |
||
Kenosha |
Kenosha Hospital and Medical Center |
3,002.25 |
||
La Crosse |
Franciscan Skemp Healthcare - La Crosse |
2,472.35 |
||
La Crosse |
Gundersen Lutheran Medical Center, Inc. |
3,399.28 |
||
Ladysmith |
Rusk Co. Memorial Hospital and Nursing Home For ERP purposes, “nursing home” is a place that provides 24-hour services, including room and board, to three or more unrelated residents who, because of their mental or physical condition, require nursing or personal care more than seven hours a week. This includes skilled nursing (SNF) and intermediate care facilities (ICF Intermediate Care Facility), in-patient psychiatric facilities and facilities for the developmentally disabled (FDD). “Nursing home” does not include: A convent or facility owned or operated exclusively by and for members of a religious order that provides reception and care or treatment. A hospice, as defined in §50.90(1) Wis. Stats., that directly provides inpatient care. Community Waiver residence. Institutions for mental disease (IMD Institute for Mental Disease). |
1,713.81 |
||
Lancaster |
Grant Regional Health Center, Inc. |
2,827.16 |
||
Madison |
Mendota Mental Health Institute |
577.84 |
||
Madison |
Meriter Hospital, Inc. |
2,740.11 |
||
Madison |
St. Mary’s Hospital Medical Center |
2,785.67 |
||
Madison |
University of WI Hospital and Clinics Authority |
3,171.65 |
||
Manitowoc |
Holy Family Memorial Medical Center |
2,349.37 |
||
Marinette |
Bay Area Medical Center |
1,985.82 |
||
Marshfield |
Norwood Health Center |
662.10 |
||
Marshfield |
Saint Joseph's Hospital |
2,693.24 |
||
Mauston |
Hess Memorial Hospital |
2,500.85 |
||
Medford |
Memorial Health Center, Inc. |
2,079.43 |
||
Menomonee Falls |
Community Memorial Hospital |
2,527.08 |
||
Menomonie |
Myrtle Werth Hospital-Mayo Health System |
2,020.15 |
||
Mequon |
St. Mary's Hospital-Ozaukee |
2,626.39 |
||
Merrill |
Good Samaritan Health Center |
1,862.32 |
||
Milwaukee |
Aurora Sinai Medical Center |
3,504.31 |
||
Milwaukee |
Children's Hospital of Wisconsin |
4,109.72 |
||
Milwaukee |
Columbia Hospital, Inc. |
3,142.63 |
||
Milwaukee |
Froedtert Memorial Lutheran Hospital |
3,763.75 |
||
Milwaukee |
Milwaukee County Mental Health Complex |
658.69 |
||
Milwaukee |
Sacred Heart Rehabilitation Institute |
1,590.18 |
||
Milwaukee |
St. Joseph's Hospital |
2,870.63 |
||
Milwaukee |
St. Luke's Medical Center |
4,194.60 |
||
Milwaukee |
St. Mary's Hospital-Milwaukee |
3,038.61 |
||
Milwaukee |
St. Michael Hospital |
3,041.39 |
||
Monroe |
The Monroe Clinic |
2,821.34 |
||
Neenah |
Theda Clark Medical Center |
2,123.14 |
||
Neillsville |
Memorial Hospital, Inc |
2,546.27 |
||
New London |
New London Family Medical Center |
2,048.86 |
||
New Richmond |
Holy Family Hospital |
2,331.20 |
||
Oconomowoc |
Oconomowoc Memorial Hospital |
2,756.58 |
||
Oconomowoc |
Rogers Memorial Hospital |
845.81 |
||
Oconto |
Oconto Memorial Hospital, Inc. |
2,419.99 |
||
Oconto Falls |
Community Memorial Hospital |
2,436.47 |
||
Osceola |
Osceola Medical Center |
2,533.79 |
||
Oshkosh |
Mercy Medical Center of Oshkosh |
2,204.91 |
||
Osseo |
Osseo Area Hospital and Nursing Home, Inc. |
8,485.86 |
||
Park Falls |
Flambeau Hospital, Inc. |
2,149.84 |
||
Platteville |
Southwest Health Center, Inc. |
2,053.36 |
||
Portage |
Divine Savior Healthcare |
2,096.57 |
||
Prairie Du Chien |
Prairie du Chien Memorial Hospital |
2,986.91 |
||
Prairie Du Sac |
Sauk Prairie Memorial Hospital |
2,575.36 |
||
Racine |
All Saints-St. Luke's Hospital, Inc. |
1,500.18 |
||
Racine |
All Saints-St. Mary's Medical Center, Inc. |
2,203.06 |
||
Reedsburg |
Reedsburg Area Medical Center |
2,252.02 |
||
Rhinelander |
Saint Mary's Hospital, Inc. |
2,601.07 |
||
Rice Lake |
Lakeview Medical Center |
1,649.24 |
||
Richland Center |
The Richland Hospital, Inc. |
2,376.05 |
||
Ripon |
Ripon Medical Center |
2,345.92 |
||
River Falls |
River Falls Area Hospital |
2,771.15 |
||
Shawano |
Shawano Medical Center |
1,945.56 |
||
Sheboygan |
Sheboygan Memorial/Valley View Medical Center |
2,414.85 |
||
Sheboygan |
St. Nicholas Hospital |
1,870.69 |
||
Shell Lake |
Indianhead Medical Center Shell Lake, Inc. |
1,889.70 |
||
Sparta |
Franciscan Skemp Healthcare-Sparta |
2,503.34 |
||
Spooner |
Spooner Health System |
2,063.49 |
||
St. Croix Falls |
St. Croix Regional Medical Center, Inc. |
2,738.80 |
||
Stanley |
Victory Medical Center |
2,768.09 |
||
Stevens Point |
Saint Michael's Hospital |
2,016.21 |
||
Stoughton |
Stoughton Hospital Association |
1,945.35 |
||
Sturgeon Bay |
Door County Memorial Hospital |
3,027.83 |
||
Superior |
St. Mary's Hospital of Superior |
1,959.67 |
||
Tomah |
Tomah Memorial Hospital, Inc. |
1,660.85 |
||
Tomahawk |
Sacred Heart Hospital, Inc. |
1,350.84 |
||
Two Rivers |
Aurora Medical Center of Manitowoc City, Inc. |
2,441.01 |
||
Viroqua |
Vernon Memorial Hospital |
2,196.89 |
||
Waterford |
Lakeview NeuroRehab Center Midwest |
1,655.79 |
||
Watertown |
Watertown Memorial Hospital |
2,476.15 |
||
Waukesha |
Waukesha County Mental Health Center |
694.85 |
||
Waukesha |
Waukesha Memorial Hospital, Inc. |
2,691.44 |
||
Waupaca |
Riverside Medical Center |
1,958.61 |
||
Waupun |
Waupun Memorial Hospital |
1,903.18 |
||
Wausau |
North Central Health Care Facilities |
694.88 |
||
Wausau |
Wausau Hospital |
2,602.82 |
||
Wauwatosa |
Aurora Psychiatric Hospital |
1,075.72 |
||
West Allis |
Rogers Memorial Hospital - Milwaukee |
1,674.72 |
||
West Allis |
Select Specialty Hospital |
2,372.35 |
||
West Allis |
West Allis Memorial Hospital |
3,282.94 |
||
West Bend |
St. Joseph's Community Hospital |
1,758.48 |
||
Whitehall |
Tri-County Memorial Hospital, Inc. |
2,472.95 |
||
Wild Rose |
Wild Rose Community Memorial Hospital Inc. |
2,077.47 |
||
Winnebago |
Winnebago Mental Health Institute |
457.54 |
||
Wisconsin Rapids |
Riverview Hospital Association |
1,934.27 |
||
Woodruff |
Howard Young Medical Center, Inc. |
2,509.65 |
Data Source: Gross Inpatient Revenue and Total Discharge Days, 2001 Wisconsin Hospital Fiscal Survey
* Average Daily Charge is the sum of Gross Inpatient Revenue and Gross Inpatient Ancillary Revenue divided by Total Discharge Days.
This page last updated in Release Number: 03-01
Release Date: 01/01/03
Effective Date: 01/01/03