Hospital · CCN 520102
Aurora Lakeland Medical Center
W3985 County Road Nn, Elkhorn, WI 53121 · Walworth County
Part of Advocate Health · 62 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999
16 admission types 29 outpatient services price file: ok
Billed per dollar paid, all admissions
3.34×
$17.5M billed against $5.2M paid across 424 Medicare discharges; the national figure is 5.03×.
4.4%
of adults in Walworth County have medical debt in collections
7.8%
uninsured in the county · state 6.3%
$77K
median household income
3.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
38.4%
obesity in the countyⓘ
11.2%
diagnosed diabetes (PLACES)
6.8%
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
102
$47,267
$15,504
3.0× st 3.6×
291
Heart failure and shock with mcc
70
$34,356
$10,108
3.4× st 3.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
33
$30,202
$8,164
3.7× st 3.9×
193
Simple pneumonia and pleurisy with mcc
30
$39,810
$11,708
3.4× st 3.6×
189
Pulmonary edema and respiratory failure
29
$36,127
$9,778
3.7× st 3.8×
177
Respiratory infections and inflammations with mcc
28
$41,222
$13,550
3.0× st 3.6×
481
Hip and femur procedures except major joint with cc
16
$66,360
$16,363
4.1× st 4.2×
378
Gastrointestinal hemorrhage with cc
16
$32,867
$7,779
4.2× st 4.0×
309
Cardiac arrhythmia and conduction disorders with cc
14
$25,966
$6,026
4.3× st 3.6×
682
Renal failure with mcc
13
$40,230
$11,714
3.4× st 3.6×
683
Renal failure with cc
13
$34,308
$7,183
4.8× st 3.7×
698
Other kidney and urinary tract diagnoses with mcc
13
$28,272
$12,870
2.2× st 3.3×
690
Kidney and urinary tract infections without mcc
12
$24,745
$6,341
3.9× st 4.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
12
$77,707
$16,690
4.7× st 4.3×
552
Medical back problems without mcc
12
$34,251
$7,525
4.6× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
11
$86,477
$37,819
2.3× st 3.3×
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
8011
Comprehensive Observation Services
153
$20,277
$2,544
8.0×
5361
Level 1 Laparoscopy and Related Services
51
$38,626
$5,427
7.1×
5302
Level 2 Upper GI Procedures
30
$12,464
$1,789
7.0×
5375
Level 5 Urology and Related Services
28
$25,100
$4,728
5.3×
5373
Level 3 Urology and Related Services
26
$20,349
$1,916
10.6×
5374
Level 4 Urology and Related Services
24
$22,478
$3,279
6.9×
5431
Level 1 Nerve Procedures
21
$8,817
$1,812
4.9×
5414
Level 4 Gynecologic Procedures
15
$22,344
$2,940
7.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
15
$24,996
$3,254
7.7×
5113
Level 3 Musculoskeletal Procedures
13
$19,674
$3,044
6.5×
5115
Level 5 Musculoskeletal Procedures
11
$53,336
$12,360
4.3×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
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 2025-11-21, template 3.0.0, 418,248 rows scanned, 11,826 distinct code–setting items kept. 89 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Showing the first 200 of 1,261 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
74 of 89 comparable items (83%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $2,527 exceeds the gross charge $385
CPT 20610/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 0443T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10080/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10120/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10121/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10140/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11740/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11760/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 11765/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16020/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16025/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 16030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 20520/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 20553/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $2,240 — part of a file-wide pattern, counted once at the file level
CPT 20600/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $1,080 — part of a file-wide pattern, counted once at the file level
CPT 20604/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $1,760 — part of a file-wide pattern, counted once at the file level
CPT 20605/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $1,240 — part of a file-wide pattern, counted once at the file level
CPT 20606/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $1,920 — part of a file-wide pattern, counted once at the file level
CPT 20611/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $2,040 — part of a file-wide pattern, counted once at the file level
CPT 0001U/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,527 exceeds the gross charge $385 — part of a file-wide pattern, counted once at the file level
CPT 0035U/o
info
mrf_negotiated_above_gross
highest negotiated rate $1,899 exceeds the gross charge $1,500 — part of a file-wide pattern, counted once at the file level
CPT 0152U/o
info
mrf_negotiated_above_gross
highest negotiated rate $7,250 exceeds the gross charge $4,480 — part of a file-wide pattern, counted once at the file level
CPT 0275T/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $13,740 — part of a file-wide pattern, counted once at the file level
CPT 0282U/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,455 exceeds the gross charge $1,150 — part of a file-wide pattern, counted once at the file level
CPT 0364U/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,814 exceeds the gross charge $6,110 — part of a file-wide pattern, counted once at the file level
CPT 0689T/o
info
mrf_negotiated_above_gross
highest negotiated rate $700 exceeds the gross charge $380 — part of a file-wide pattern, counted once at the file level
CPT 0690T/o
info
mrf_negotiated_above_gross
highest negotiated rate $700 exceeds the gross charge $380 — part of a file-wide pattern, counted once at the file level
CPT 0738T/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,550 exceeds the gross charge $540 — part of a file-wide pattern, counted once at the file level
CPT 0764T/o
info
mrf_negotiated_above_gross
highest negotiated rate $310 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level
CPT 0765T/o
info
mrf_negotiated_above_gross
highest negotiated rate $310 exceeds the gross charge $240 — part of a file-wide pattern, counted once at the file level
CPT 10004/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $555 — part of a file-wide pattern, counted once at the file level
CPT 10005/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $2,240 — part of a file-wide pattern, counted once at the file level
CPT 10006/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $1,680 — part of a file-wide pattern, counted once at the file level
CPT 10007/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $1,820 — part of a file-wide pattern, counted once at the file level
CPT 10008/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $1,370 — part of a file-wide pattern, counted once at the file level
CPT 10010/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $2,630 — part of a file-wide pattern, counted once at the file level
CPT 10021/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $755 — part of a file-wide pattern, counted once at the file level
CPT 10035/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,800 exceeds the gross charge $2,460 — part of a file-wide pattern, counted once at the file level
CPT 10036/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $1,840 — part of a file-wide pattern, counted once at the file level
CPT 10080/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,683 exceeds the gross charge $290 — part of a file-wide pattern, counted once at the file level
CPT 10120/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,340 exceeds the gross charge $420 — part of a file-wide pattern, counted once at the file level
CPT 10121/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,800 exceeds the gross charge $1,350 — part of a file-wide pattern, counted once at the file level
CPT 10140/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,387 exceeds the gross charge $1,870 — part of a file-wide pattern, counted once at the file level
CPT 10160/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $565 — part of a file-wide pattern, counted once at the file level
CPT 11055/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $200 — part of a file-wide pattern, counted once at the file level
CPT 11056/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 11102/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $460 — part of a file-wide pattern, counted once at the file level
CPT 11103/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $230 — part of a file-wide pattern, counted once at the file level
CPT 11104/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $460 — part of a file-wide pattern, counted once at the file level
CPT 11105/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $230 — part of a file-wide pattern, counted once at the file level
CPT 11106/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $460 — part of a file-wide pattern, counted once at the file level
CPT 11107/o
info
mrf_negotiated_above_gross
highest negotiated rate $23,460 exceeds the gross charge $230 — part of a file-wide pattern, counted once at the file level
CPT 11719/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $100 — part of a file-wide pattern, counted once at the file level
CPT 11730/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $450 — part of a file-wide pattern, counted once at the file level
CPT 11732/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 11740/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,340 exceeds the gross charge $150 — part of a file-wide pattern, counted once at the file level
CPT 11760/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,340 exceeds the gross charge $715 — part of a file-wide pattern, counted once at the file level
CPT 11765/o
info
mrf_negotiated_above_gross
highest negotiated rate $2,340 exceeds the gross charge $495 — part of a file-wide pattern, counted once at the file level
CPT 11981/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $610 — part of a file-wide pattern, counted once at the file level
CPT 11982/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $610 — part of a file-wide pattern, counted once at the file level
CPT 11983/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $910 — part of a file-wide pattern, counted once at the file level
CPT 16000/o
info
mrf_negotiated_above_gross
highest negotiated rate $14,482 exceeds the gross charge $225 — part of a file-wide pattern, counted once at the file level
CPT 16020/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $315 — part of a file-wide pattern, counted once at the file level
CPT 16025/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,800 exceeds the gross charge $415 — part of a file-wide pattern, counted once at the file level
CPT 16030/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,800 exceeds the gross charge $505 — part of a file-wide pattern, counted once at the file level
CPT 17250/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $545 — part of a file-wide pattern, counted once at the file level
CPT 19000/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $860 — part of a file-wide pattern, counted once at the file level
CPT 19001/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $430 — part of a file-wide pattern, counted once at the file level
CPT 19020/o
info
mrf_negotiated_above_gross
highest negotiated rate $8,773 exceeds the gross charge $3,400 — part of a file-wide pattern, counted once at the file level
CPT 19081/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,600 exceeds the gross charge $5,300 — part of a file-wide pattern, counted once at the file level
CPT 19082/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $3,970 — part of a file-wide pattern, counted once at the file level
CPT 19083/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,600 exceeds the gross charge $4,220 — part of a file-wide pattern, counted once at the file level
CPT 19084/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $3,170 — part of a file-wide pattern, counted once at the file level
CPT 19085/o
info
mrf_negotiated_above_gross
highest negotiated rate $9,600 exceeds the gross charge $6,340 — part of a file-wide pattern, counted once at the file level
CPT 19086/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $4,780 — part of a file-wide pattern, counted once at the file level
CPT 19281/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $2,120 — part of a file-wide pattern, counted once at the file level
CPT 19282/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $1,590 — part of a file-wide pattern, counted once at the file level
CPT 19283/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $2,720 — part of a file-wide pattern, counted once at the file level
CPT 19284/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $2,050 — part of a file-wide pattern, counted once at the file level
CPT 19285/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $2,330 — part of a file-wide pattern, counted once at the file level
CPT 19286/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $1,740 — part of a file-wide pattern, counted once at the file level
CPT 19287/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,461 exceeds the gross charge $3,150 — part of a file-wide pattern, counted once at the file level
CPT 19288/o
info
mrf_negotiated_above_gross
highest negotiated rate $19,000 exceeds the gross charge $2,360 — part of a file-wide pattern, counted once at the file level
CPT 20206/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,387 exceeds the gross charge $1,580 — part of a file-wide pattern, counted once at the file level
CPT 20225/o
info
mrf_negotiated_above_gross
highest negotiated rate $6,800 exceeds the gross charge $2,300 — part of a file-wide pattern, counted once at the file level
CPT 20520/o
info
mrf_negotiated_above_gross
highest negotiated rate $4,387 exceeds the gross charge $785 — part of a file-wide pattern, counted once at the file level
CPT 20552/o
info
mrf_negotiated_above_gross
highest negotiated rate $3,500 exceeds the gross charge $1,790 — part of a file-wide pattern, counted once at the file level
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Aurora Lakeland Medical Center — standard charges file · WI · updated 2025-11-21· csv-tall · 100.0M bytes · fetched 2026-08-23 · sha256 a1f3d06d4cc2…
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.