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Marshfield Medical Center: what a joint replacement costs

Marshfield, WI 54449 · CMS Certification Number 520037. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,450
Medicare allowed amount, 76 cases, APC 5115
Inpatient here
$16,579
Avg total payment (incl. patient share), 28 Medicare stays, MS-DRG 470

Medicare prices at Marshfield Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,579$61,2553.7×$12,450
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$18,821$52,5782.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$42,0802.5×$25,606–$48,4936
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$48,4932.9×1
WPS Health Insurance$45,3812.7×1
Medica$42,9012.6×1
The Alliance$41,2602.5×1
UnitedHealthcare$38,4322.3×1
Security Health Plan (SHP)$25,6061.5×1

From the hospital's price-transparency file (2026-02-20); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-02-20); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 504 beds

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

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Questions

How much does Medicare pay Marshfield Medical Center for a knee or hip replacement?

In 2024 the average total payment to Marshfield Medical Center for an inpatient hip or knee replacement stay was $16,579 (MS-DRG 470, 28 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,450 per outpatient case (APC 5115, 76 cases).

What is Marshfield Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $61,255, 3.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Marshfield Medical Center compare with other Wisconsin hospitals?

Marshfield Medical Center's average total payment per Medicare stay is higher than 90% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Marshfield Medical Center 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 $42,080 across 6 insurers, ranging from $25,606 to $48,493.