Pleasant Prairie, WI 53158 · CMS Certification Number 520021. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,926 | $87,993 | 5.5× | $12,360 |
| Shoulder replacement | — | — | — | $17,488 |
| Hip replacement after a fracture (DRG 522) | $15,297 | $77,324 | 5.1× | — |
Overall Care Compare rating: 2 of 5 stars. Government · Acute · 380 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Froedtert Pleasant Prairie Hospital an average of $15,926 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $12,360 per outpatient case (APC 5115, 111 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,993, 5.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Aurora Pleasant Prairie Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,988 by Medicare for a knee replacement (CPT 27447), $6,938 less than an inpatient stay at Froedtert Pleasant Prairie Hospital. Not every patient is a surgery-center candidate.
Medicare paid Froedtert Pleasant Prairie Hospital more than 75% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.