2026 Forecast Verified

Open Heart Surgery Cost in Wisconsin (2026)

Near the US median for open heart surgery pricing · WI

Wisconsin Average
$149,700
Near national average
Typical Range
$79,840 – $249,500
National avg: $150,000
Editorial view of Wisconsin
Regional Pricing Confidence
90% Confidence Index
The Wisconsin Market

What Drives Pricing Here

Three factors explain most of why open heart surgery costs what it does in Wisconsin.

Regional Price Parity

Wisconsin's cost-of-living index sits at 99.8 — near the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

9 facilities perform this procedure in Wisconsin — competition keeps pricing honest and gives you real leverage to shop quotes.

Vs. National Benchmark

Wisconsin tracks within 0.2% of the national average ($150,000) — a typical mid-market pricing environment with wide provider variance.

State Context

Open Heart Surgery in Wisconsin: What to Know

Wisconsin offers exceptional open-heart surgery options. Aurora St. Luke's Medical Center in Milwaukee is a high-volume center, performing over 1,000 bypass and valve surgeries annually. In 2015, they earned a rare three-star rating from the Society of Thoracic Surgeons for CABG, AVR, and combined procedures. Froedtert Hospital, also in Milwaukee, was named one of America's 50 Best Hospitals for Cardiac Surgery by Healthgrades in 2024 and performs groundbreaking minimally invasive techniques like the LAMPOON procedure.

For potential cost savings, consider facilities outside of major metropolitan areas, such as Aspirus Heart Care in Central Wisconsin, a leader in minimally invasive techniques and beating-heart bypass surgery. While Wisconsin's average cost is comparable to the national average, exploring options in neighboring states like Minnesota or Iowa, especially near border communities served by systems like Gundersen Health, might also present different pricing structures. Verify current pricing directly with providers.

Itemized Breakdown

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.

Hospital Stay

Per-night inpatient cost

$36,676 - $68,114

Most significant cost

Surgeon Fee

Expertise and experience level

$20,958 - $38,922

Implants & Supplies

$15,718 - $29,192

Operating Room

OR and equipment time

$15,718 - $29,192

Anesthesia

Anesthesiologist or CRNA fee

$8,383 - $15,569

Post-Op Care

Recovery and aftercare

$7,335 - $13,623

Total Estimated Cost

Wisconsin all-in range

$79,840 – $249,500

Financing Options

Many Wisconsin clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $149,700 looks like:

$6,238/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

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 →

Hospital-Level Data

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 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
Regional Comparison

Open Heart Surgery Cost in Nearby States

See how Wisconsin's open heart surgery costs compare to neighboring states. Prices can vary significantly even across state lines.

Common Questions

Expert Answers for Wisconsin Patients

Local regulations, insurance nuance, and surgical standards specific to Wisconsin.

Compare Wisconsin with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main open heart surgery cost guide.

View full open heart surgery guide
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.
Data Sources & References

How we calculate open heart surgery costs in Wisconsin

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • HCUP (Healthcare Cost & Utilization Project)AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • Bureau of Labor Statistics — Healthcare Practitioner Occupational WagesBLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • BEA Regional Price Parities (RPP)U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Wisconsin's cost-of-living relative to the national mean.
  • FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • Medicare Provider Utilization & Payment DataCMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

Compare Open Heart Surgery Cost in Every State