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Aspirus Wausau Hospital: what a joint replacement costs

Wausau, WI 54401 · CMS Certification Number 520030. 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
$8,415
Wausau Surgery Center, same ZIP
Outpatient here
$11,446
193 Medicare cases, APC 5115
Inpatient here
$13,527
33 Medicare stays, MS-DRG 470

Medicare prices at Aspirus Wausau Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,527$53,5264.0×$11,446
Shoulder replacement———$16,367

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 321 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 Wausau Hospital for a knee or hip replacement?

In 2024 Medicare paid Aspirus Wausau Hospital an average of $13,527 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,446 per outpatient case (APC 5115, 193 cases).

What is Aspirus Wausau Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,526, 4.0× 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 Aspirus Wausau Hospital?

Yes for Medicare facility payments. Wausau Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,415 by Medicare for a knee replacement (CPT 27447), $5,112 less than an inpatient stay at Aspirus Wausau Hospital. Not every patient is a surgery-center candidate.

How does Aspirus Wausau Hospital compare with other Wisconsin hospitals?

Medicare paid Aspirus Wausau Hospital less than 65% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.