Hospital · CCN 520044

St Nicholas Hospital

3100 Superior Ave, Sheboygan, WI 53081 · Sheboygan County
Part of Hospital Sisters Health System · 53 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

5 admission types 34 outpatient services price file: ok

Billed per dollar paid, all admissions

3.46×

$4.2M billed against $1.2M paid across 98 Medicare discharges; the national figure is 5.03×.

1.9%

of adults in Sheboygan County have medical debt in collections

5.4%

uninsured in the county · state 6.3%

$74K

median household income

3.6×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ

36.6%

obesity in the countyⓘ

11.5%

diagnosed diabetes (PLACES)

6.9%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$48,081

$15,325

3.1× st 3.6×

177

Respiratory infections and inflammations with mcc

$41,979

$11,403

3.7× st 3.6×

189

Pulmonary edema and respiratory failure

$39,152

$8,863

4.4× st 3.8×

291

Heart failure and shock with mcc

$36,448

$9,802

3.7× st 3.6×

193

Simple pneumonia and pleurisy with mcc

$35,314

$9,941

3.6× st 3.6×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5491

Level 1 Intraocular Procedures

190

$10,429

$2,112

4.9×

8011

Comprehensive Observation Services

$18,165

$2,472

7.4×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$10,608

$1,453

7.3×

5375

Level 5 Urology and Related Services

$26,550

$4,527

5.9×

5431

Level 1 Nerve Procedures

$10,710

$1,722

6.2×

5115

Level 5 Musculoskeletal Procedures

$50,796

$11,698

4.3×

5302

Level 2 Upper GI Procedures

$11,513

$1,732

6.6×

5183

Level 3 Vascular Procedures

$14,270

$2,901

4.9×

5374

Level 4 Urology and Related Services

$16,841

$3,076

5.5×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$20,811

$3,149

6.6×

5361

Level 1 Laparoscopy and Related Services

$40,943

$5,017

8.2×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$22,470

$2,587

8.7×

5113

Level 3 Musculoskeletal Procedures

$16,984

$2,946

5.8×

5373

Level 3 Urology and Related Services

$18,682

$1,854

10.1×

5182

Level 2 Vascular Procedures

$6,893

$1,458

4.7×

5362

Level 2 Laparoscopy and Related Services

$44,743

$8,662

5.2×

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5372

Level 2 Urology and Related Services

—

5416

Level 6 Gynecologic Procedures

—

5471

Implantation of Drug Infusion Device

—

5313

Level 3 Lower GI Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5184

Level 4 Vascular Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5192

Level 2 Endovascular Procedures

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 3/24/2026, template 3.0.0, 564,515 rows scanned, 3,726 distinct code–setting items kept. No rule fires against it.

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
St Nicholas Hospital — standard charges file · WI · updated 3/24/2026
· csv-tall · 6.5M bytes · fetched 2026-08-23 · sha256 0b1379fdb7d4…

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.