Portage, WI 53901 · CMS Certification Number 520041. 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 | — | — | — | $11,936 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,888 | — | $24,597–$44,021 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $44,021 | — | 1 |
| Aspirus Health Plan | $40,900 | — | 1 |
| Security Health Plan Of Wisconsin | $40,121 | — | 1 |
| Dean Health Plan | $33,654 | — | 1 |
| WPS Health Plan | $29,195 | — | 1 |
| Quartz Health Solutions | $24,597 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 73 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $11,936 per outpatient hip or knee replacement case (APC 5115, 32 cases) in 2024. Inpatient stays were too few to report.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,888 across 6 insurers, ranging from $24,597 to $44,021.