Open Heart Surgery Cost in Wisconsin (2026)
Near the US median for open heart surgery pricing · WI
Wisconsin Average
$149,700
Typical Range
$79,840 – $249,500
National Average
$150,000
Estimated Cost Breakdown in Wisconsin
Wisconsin sits near the middle of the pack for open heart surgery pricing. The cost components typically split like this.
| Component | Estimated Range |
|---|---|
| Hospital Stay | $36,676 - $68,114 |
| Surgeon Fee | $20,958 - $38,922 |
| Implants Supplies | $15,718 - $29,192 |
| Operating Room | $15,718 - $29,192 |
| Anesthesia | $8,383 - $15,569 |
| Post Op Care | $7,335 - $13,623 |
| Total Estimated Cost | $79,840 – $249,500 |
Prices reflect regional cost-of-living adjustments. How we calculate these numbers →
Ranges adjusted for Wisconsin's regional price parity (99.8). See the national percentage breakdown →
Facility Costs in Wisconsin
Here are the highest-volume open heart surgery providers in Wisconsin. All rates come from CMS Medicare claims data — actual payments, not list prices.
| Facility | City | Negotiated Rate | Medicare Payment | Volume |
|---|---|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee | $66,932 | $59,319 | 67 |
| University Of Wi Hospitals & Clinics Authority | Madison | $95,543 | $74,352 | 50 |
| Froedtert Memorial Lutheran Hospital | Milwaukee | $94,711 | $51,167 | 43 |
| Ssm Health St Mary's Hospital - Madison | Madison | $59,742 | $57,993 | 32 |
| Mayo Clinic Health System In Eau Claire | Eau Claire | $74,601 | $58,666 | 26 |
| Aurora St Lukes Medical Center | Milwaukee | $95,721 | $75,058 | 21 |
| University Of Wi Hospitals & Clinics Authority | Madison | $105,895 | $82,693 | 19 |
| Ssm Health St Mary's Hospital - Madison | Madison | $74,035 | $72,061 | 14 |
| Gundersen Lutheran Medical Center | La Crosse | $75,038 | $64,491 | 12 |
Open Heart Surgery Cost in Neighboring States
See how Wisconsin's open heart surgery costs compare to neighboring states. Prices can vary significantly even across state lines.
Open Heart Surgery in Wisconsin: Common Questions
What should I expect to pay for open heart surgery in Wisconsin?
In Wisconsin, open heart surgery runs about $149,700 on average. Most patients pay between $79,840 and $249,500, with the final price shaped by your choice of surgeon, facility type, and procedure complexity.
Will my health insurance pay for open heart surgery?
Yes — open heart surgery is generally covered by insurance in Wisconsin when your doctor documents medical necessity. Expect to pay your deductible and copay, but the bulk of the $149,700 cost should be covered by your plan.
What's the recovery time for open heart surgery?
Most Wisconsin patients need 42 to 120 days to fully recover from open heart surgery. Your surgeon will schedule follow-ups during this window to monitor healing. At Wisconsin's cost of living (RPP 99.8), lost wages during recovery can be a significant hidden cost — budget for that alongside the procedure itself.
What payment options exist for open heart surgery in Wisconsin?
You have several options to cover the $149,700 average in Wisconsin. Third-party financing (CareCredit, Alphaeon) offers 0% intro APR periods up to 24 months. Many surgeons also accept direct payment plans or offer discounts of 10-20% for paying in full upfront.
How do I compare open heart surgery facilities in Wisconsin?
Focus on three things: the facility's open heart surgery case volume, its accreditation status, and the out-of-pocket cost at your insurance tier. Wisconsin has both hospital and outpatient options — outpatient centers typically offer significant savings.
Is it worth traveling to another state for open heart surgery?
Yes — Iowa offers open heart surgery at an average of $143,250, which is $6,450 less than Wisconsin. Factor in travel costs, follow-up visit logistics, and whether your insurance network covers out-of-state providers before making the trip.
Does Wisconsin Medicaid cover open heart surgery?
Wisconsin Medicaid may cover open heart surgery when it's medically necessary and your doctor provides supporting documentation. Coverage details vary by managed care plan, so check directly with your Medicaid provider for pre-authorization steps.