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ST NICHOLAS HOSPITAL

Sheboygan, WI · CCN 520044 · Rates published

3,621 distinct procedures filed
34 distinct payers
1,034,118 rate rows
2026-03-24 last MRF observed

1,012,916 of 1,034,118 rate rows are consumer-grade (97.9%)

21,202 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 11,952
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,057
placeholder amount (≤ $0.02) — excluded from medians 494
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 481
percent-of-charges filed in the dollar field — excluded from medians 139
per-diem day rate — not a per-procedure price 46
exceeds 3× this hospital's gross charge for a DRG stay — excluded 18
exceeds 10× this hospital's gross charge — excluded from medians 15
↓ Download audit trail (JSON)
Source MRF file https://www.hshs.org/getmedia/a3a50e01-863e-49b4-857a-94427057dca3/390808480_st-nicholas-hospital-of-the-hospital-sisters-of-the-third-order-of-st-francis_standardcharges.zip
Found on page https://www.hshs.org/patients/billing/price
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-01
Content fingerprint 0b1379fdb7d4a784… · 6,533,080 bytes · first seen 2026-07-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
326
MS_DRG
Stomach, Esophageal And Duodenal Procedures With Mcc 12 $36,163.31 $118,505.37 $104,052.76 nat. median
$46,239

outlier · 2.3×
427
MS_DRG
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $49,531.38 $119,582.33 $85,741.41 nat. median
$63,648

1.3× median
448
MS_DRG
Multiple Level Spinal Fusion Except Cervical Without Mcc 12 $30,897.36 $93,823.46 $73,519.38 nat. median
$39,085

1.9× median
466
MS_DRG
Revision Of Hip Or Knee Replacement With Mcc 12 $37,700.91 $103,639.94 $70,670.43 nat. median
$46,376

1.5× median
329
MS_DRG
Major Small And Large Bowel Procedures With Mcc 12 $32,255.91 $101,692.97 $68,774.39 nat. median
$42,641

1.6× median
856
MS_DRG
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 $33,069.05 $100,635.44 $67,355.48 nat. median
$41,685

1.6× median
402
MS_DRG
Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 $29,343.53 $88,949.54 $66,966.83 nat. median
$36,900

1.8× median
853
MS_DRG
Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 $25,727.32 $97,467.34 $66,643.23 nat. median
$45,430

1.5× median
467
MS_DRG
Revision Of Hip Or Knee Replacement With Cc 12 $24,214.04 $78,022.50 $63,874.31 nat. median
$32,637

2.0× median
356
MS_DRG
Other Digestive System O.r. Procedures With Mcc 12 $24,938.49 $93,979.20 $62,974.33 nat. median
$40,223

1.6× median
353
MS_DRG
Hernia Procedures Except Inguinal And Femoral With Mcc 12 $21,454.50 $64,203.85 $62,271.21 nat. median
$27,394

outlier · 2.3×
749
MS_DRG
Other Female Reproductive System O.r. Procedures With Cc/mcc 12 $19,095.89 $56,805.58 $54,135.00 nat. median
$24,348

outlier · 2.2×
981
MS_DRG
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 $33,399.81 $73,445.79 $53,762.08 nat. median
$43,696

1.2× median
335
MS_DRG
Peritoneal Adhesiolysis With Mcc 12 $26,172.41 $79,002.59 $53,019.04 nat. median
$33,110

1.6× median
824
MS_DRG
Lymphoma And Non-acute Leukemia With Other Procedures With Cc 12 $16,965.82 $51,351.18 $50,737.66 nat. median
$21,632

outlier · 2.3×
511
MS_DRG
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 12 $15,652.50 $53,960.68 $49,982.67 nat. median
$19,661

outlier · 2.5×
480
MS_DRG
Hip And Femur Procedures Except Major Joint With Mcc 12 $20,935.05 $64,431.73 $48,219.03 nat. median
$27,823

1.7× median
415
MS_DRG
Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 12 $15,562.93 $46,082.07 $45,902.87 nat. median
$19,770

outlier · 2.3×
659
MS_DRG
Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 $18,907.57 $56,214.87 $44,693.08 nat. median
$24,333

1.8× median
956
MS_DRG
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 $27,527.33 $67,905.59 $44,663.10 nat. median
$35,488

1.3× median
327
MS_DRG
Stomach, Esophageal And Duodenal Procedures With Cc 12 $18,225.53 $54,075.48 $44,001.79 nat. median
$23,572

1.9× median
468
MS_DRG
Revision Of Hip Or Knee Replacement Without Cc/mcc 12 $18,685.58 $60,796.75 $42,548.98 nat. median
$25,674

1.7× median
472
MS_DRG
Cervical Spinal Fusion With Cc 12 $21,765.54 $64,097.65 $42,201.61 nat. median
$28,251

1.5× median
988
MS_DRG
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 12 $12,451.87 $57,323.11 $42,174.74 nat. median
$16,246

outlier · 2.6×
974
MS_DRG
HIV With Major Related Condition With Mcc 12 $21,341.65 $62,038.02 $41,689.83 nat. median
$27,528

1.5× median
314
MS_DRG
Other Circulatory System Diagnoses With Mcc 12 $15,379.54 $54,726.17 $41,504.96 nat. median
$19,968

outlier · 2.1×
336
MS_DRG
Peritoneal Adhesiolysis With Cc 12 $15,493.70 $52,508.76 $41,412.16 nat. median
$20,302

outlier · 2.0×
492
MS_DRG
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 12 $26,345.01 $55,576.88 $41,229.77 nat. median
$33,640

1.2× median
330
MS_DRG
Major Small And Large Bowel Procedures With Cc 12 $16,927.11 $53,035.65 $41,050.13 nat. median
$22,949

1.8× median
473
MS_DRG
Cervical Spinal Fusion Without Cc/mcc 12 $18,205.06 $54,011.32 $40,614.71 nat. median
$23,500

1.7× median
355
MS_DRG
Hernia Procedures Except Inguinal And Femoral Without Cc/mcc 12 $10,472.62 $51,397.74 $40,577.26 nat. median
$13,406

outlier · 3.0×
478
MS_DRG
Biopsies Of Musculoskeletal System And Connective Tissue With Cc 12 $18,331.32 $54,407.34 $40,544.40 nat. median
$22,790

1.8× median
604
MS_DRG
Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc 12 $11,369.08 $47,635.79 $40,450.46 nat. median
$14,404

outlier · 2.8×
802
MS_DRG
Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 $29,086.81 $53,933.65 $40,072.70 nat. median
$35,112

1.1× median
810
MS_DRG
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 $8,367.94 $56,701.77 $39,928.38 nat. median
$10,343

outlier · 3.9×
411
MS_DRG
Cholecystectomy With C.d.e. With Mcc 12 $24,284.95 $52,733.90 $38,509.43 nat. median
$29,357

1.3× median
808
MS_DRG
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 12 $15,047.50 $48,847.58 $37,948.65 nat. median
$21,010

1.8× median
983
MS_DRG
Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 12 $13,075.25 $41,968.32 $37,920.54 nat. median
$16,560

outlier · 2.3×
417
MS_DRG
Laparoscopic Cholecystectomy Without C.d.e. With Mcc 12 $17,817.85 $52,796.71 $37,736.49 nat. median
$22,568

1.7× median
350
MS_DRG
Inguinal And Femoral Hernia Procedures With Mcc 12 $18,561.96 $55,130.80 $36,881.67 nat. median
$23,367

1.6× median
62
MS_DRG
Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 12 $13,112.35 $38,876.29 $36,377.79 nat. median
$17,351

outlier · 2.1×
522
MS_DRG
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 12 $15,165.36 $46,851.99 $36,234.04 nat. median
$20,545

1.8× median
481
MS_DRG
Hip And Femur Procedures Except Major Joint With Cc 12 $14,272.75 $46,338.72 $35,866.64 nat. median
$20,302

1.8× median
328
MS_DRG
Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 12 $12,287.41 $47,067.53 $35,449.29 nat. median
$15,753

outlier · 2.3×
907
MS_DRG
Other O.r. Procedures For Injuries With Mcc 12 $28,065.49 $47,610.25 $35,374.42 nat. median
$35,993

1.0× median
464
MS_DRG
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 12 $22,530.03 $47,776.00 $35,365.36 nat. median
$28,658

1.2× median
715
MS_DRG
Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 12 $16,766.22 $49,498.03 $35,159.26 nat. median
$21,358

1.6× median
418
MS_DRG
Laparoscopic Cholecystectomy Without C.d.e. With Cc 12 $12,039.65 $37,424.96 $34,623.83 nat. median
$16,454

outlier · 2.1×
357
MS_DRG
Other Digestive System O.r. Procedures With Cc 12 $17,388.30 $51,341.40 $34,364.85 nat. median
$21,811

1.6× median
570
MS_DRG
Skin Debridement With Mcc 12 $21,730.28 $46,918.26 $34,324.27 nat. median
$28,022

1.2× median

Other procedures at this hospital

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