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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,527 | $53,526 | 4.0× | $11,446 |
| Shoulder replacement | — | — | — | $16,367 |
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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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).
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.
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.
Medicare paid Aspirus Wausau Hospital less than 65% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.