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Froedtert Pleasant Prairie Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,988
Aurora Pleasant Prairie Ambulatory Surgery Center, same ZIP
Outpatient here
$12,360
111 Medicare cases, APC 5115
Inpatient here
$15,926
12 Medicare stays, MS-DRG 470

Medicare prices at Froedtert Pleasant Prairie Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,926$87,9935.5×$12,360
Shoulder replacement———$17,488
Hip replacement after a fracture (DRG 522)$15,297$77,3245.1×—

Quality

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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Questions

How much does Medicare pay Froedtert Pleasant Prairie Hospital for a knee or hip replacement?

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).

What is Froedtert Pleasant Prairie Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Froedtert Pleasant Prairie Hospital?

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.

How does Froedtert Pleasant Prairie Hospital compare with other Wisconsin hospitals?

Medicare paid Froedtert Pleasant Prairie Hospital more than 75% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.