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St Nicholas Hospital: what a joint replacement costs

Sheboygan, WI 53081 · CMS Certification Number 520044. 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
$11,698
38 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at St Nicholas Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,698
Shoulder replacement————

Quality

Overall Care Compare rating: 3 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 St Nicholas Hospital for a knee or hip replacement?

Medicare allowed an average of $11,698 per outpatient hip or knee replacement case (APC 5115, 38 cases) in 2024. Inpatient stays were too few to report.