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Aspirus Stevens Point Hospital: what a joint replacement costs

Stevens Point, WI 54481 · CMS Certification Number 520002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,389
Ambulatory Surgical Center of Stevens Point, same ZIP
Outpatient here
$11,292
Medicare allowed amount, 43 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Aspirus Stevens Point Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,292
Shoulder replacement———$16,640

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$40,121—$26,723–$44,0213
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$44,021—1
Security Health Plan Of Wisconsin$40,121—1
WPS Health Plan$26,723—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 181 beds

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

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Questions

How much does Medicare pay Aspirus Stevens Point Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,292 per outpatient hip or knee replacement case (APC 5115, 43 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Aspirus Stevens Point Hospital?

Yes for Medicare facility payments. Ambulatory Surgical Center of Stevens Point, an orthopedic surgery center same ZIP away, is paid about $8,389 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Aspirus Stevens Point Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,121 across 3 insurers, ranging from $26,723 to $44,021.