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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,493 |
| Shoulder replacement | — | — | — | $16,667 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,256 | — | $26,116–$41,481 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
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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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.
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.
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.