Price AtlasInteractive atlas · All states · techysurgeon.comAurora Medical Center Sheboygan County: what a joint replacement costs
Sheboygan, WI 53081 · CMS Certification Number 520035. 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.
Medicare prices at Aurora Medical Center Sheboygan County
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,842 |
| Shoulder replacement | — | — | — | $16,137 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,609 | — | $26,116–$41,481 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $41,481 | — | 1 |
| Quartz Group | $40,595 | — | 1 |
| Elevance/Anthem/Empire | $40,234 | — | 1 |
| Wisconsin Physician Service | $37,537 | — | 1 |
| Health Payment Systems | $34,882 | — | 1 |
| Quartz One | $34,693 | — | 1 |
| HS Technology | $33,952 | — | 1 |
| Aurora Caregiver | $33,609 | — | 1 |
| HealthPartners | $33,256 | — | 1 |
| Trilogy | $33,087 | — | 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
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 185 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 Center Sheboygan County for a knee or hip replacement?
The Medicare allowed amount averaged $11,842 per outpatient hip or knee replacement case (APC 5115, 122 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Aurora Medical Center Sheboygan 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 $33,609 across 15 insurers, ranging from $26,116 to $41,481.