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Aurora Medical Ctr Manitowoc County: what a joint replacement costs

Two Rivers, WI 54241 · CMS Certification Number 520034. 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
$8,828
Orthopedic Surgery Center of Green Bay LLC, 23.4 mi
Outpatient here
$11,493
Medicare allowed amount, 76 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Aurora Medical Ctr Manitowoc County

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,493
Shoulder replacement———$16,667

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$33,256—$26,116–$41,48115
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$41,481—1
Wisconsin Physician Service$37,537—1
Quartz Group$36,843—1
Elevance/Anthem/Empire$35,627—1
Health Payment Systems$34,882—1
HS Technology$33,952—1
Aurora Caregiver$33,609—1
HealthPartners$33,256—1
Trilogy$33,087—1
Quartz One$31,488—1
Common Ground$29,076—1
Aetna$28,354—1
Everpointe Elite$27,349—1
Centivo$26,785—1
UnitedHealthcare$26,116—1

From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 69 beds

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

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Questions

How much does Medicare pay Aurora Medical Ctr Manitowoc County for a knee or hip replacement?

The Medicare allowed amount averaged $11,493 per outpatient hip or knee replacement case (APC 5115, 76 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Aurora Medical Ctr Manitowoc County?

Yes for Medicare facility payments. Orthopedic Surgery Center of Green Bay LLC, an orthopedic surgery center 23.4 mi away, is paid about $8,828 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Aurora Medical Ctr Manitowoc County 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 $33,256 across 15 insurers, ranging from $26,116 to $41,481.