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Ssm Health Surgery Center: surgery-center prices

An orthopedic ambulatory surgery center in Madison, WI 53715. What Medicare pays here for knee, hip and shoulder replacement, and how that compares with the hospitals nearby.

Knee (CPT 27447)
$8,977
Medicare rate here
Hip (CPT 27130)
$9,165
Medicare rate here
Shoulder (CPT 23472)
$13,882
Medicare rate here

Nearest hospitals

HospitalDistanceInpatient paidOutpatient allowedList price
Ssm Health St Mary's Hospital - Madisonsame ZIP$14,316$12,129$59,690
University of Wi Hospitals & Clinics Authority2.6 mi$20,018$12,187$69,609
Prohealth Oconomowoc Memorial Hospital45.5 mi$12,643$11,922$73,271

5 operating rooms · Proprietary · certified since 1989 · ASC-17 hospital visits after orthopedic surgery: 2.3% (No Different Than the National Rate)

Open the interactive price tagAll Wisconsin facilities

Questions

How much does Medicare pay Ssm Health Surgery Center for a knee replacement?

About $8,977 for a total knee replacement (CPT 27447), $9,165 for a total hip (CPT 27130) and $13,882 for a total shoulder (CPT 23472): Medicare's CY2024 national surgery-center rates adjusted by the local wage index (0.9843).

How does that compare with the nearest hospital?

Ssm Health St Mary's Hospital - Madison (same ZIP) was paid an average of $14,316 per inpatient hip or knee replacement stay in 2024, $5,339 more than this surgery center's knee rate.

Does Wisconsin require a certificate of need for surgery centers?

Wisconsin has a certificate-of-need program that does not cover surgery centers.