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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,579 | $61,255 | 3.7× | $12,450 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $18,821 | $52,578 | 2.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,080 | 2.5× | $25,606–$48,493 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $48,493 | 2.9× | 1 |
| WPS Health Insurance | $45,381 | 2.7× | 1 |
| Medica | $42,901 | 2.6× | 1 |
| The Alliance | $41,260 | 2.5× | 1 |
| UnitedHealthcare | $38,432 | 2.3× | 1 |
| Security Health Plan (SHP) | $25,606 | 1.5× | 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.
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.
Open the interactive price tagBuild a reportAll Wisconsin hospitals
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).
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.
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.
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.