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Pinnacle Cataract & Laser Institute: surgery-center prices

An orthopedic ambulatory surgery center in Appleton, WI 54914. What Medicare pays here for knee, hip and shoulder replacement, and how that compares with the hospitals nearby.

Knee (CPT 27447)
$8,715
Medicare rate here
Hip (CPT 27130)
$8,898
Medicare rate here
Shoulder (CPT 23472)
$13,477
Medicare rate here

Nearest hospitals

HospitalDistanceInpatient paidOutpatient allowedList price
Thedacare Regional Medical Center - Appleton Inc5.9 mi$14,438$11,568$40,101
Froedtert West Bend Hospital63.1 mi$12,488$11,815$77,587
Marshfield Medical Center - Weston66.2 mi$12,805$11,683$57,740

3 operating rooms · Government · certified since 2005

Open the interactive price tagAll Wisconsin facilities

Questions

How much does Medicare pay Pinnacle Cataract & Laser Institute for a knee replacement?

About $8,715 for a total knee replacement (CPT 27447), $8,898 for a total hip (CPT 27130) and $13,477 for a total shoulder (CPT 23472): Medicare's CY2024 national surgery-center rates adjusted by the local wage index (0.9264).

How does that compare with the nearest hospital?

Thedacare Regional Medical Center - Appleton Inc (5.9 mi) was paid an average of $14,438 per inpatient hip or knee replacement stay in 2024, $5,723 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.