Price AtlasInteractive atlas · All states · techysurgeon.comProhealth Oconomowoc Memorial Hospital: what a joint replacement costs
Oconomowoc, WI 53066 · CMS Certification Number 520062. 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 Prohealth Oconomowoc Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,643 | $73,271 | 5.8× | $11,922 |
| Shoulder replacement | $18,836 | $93,639 | 5.0× | $16,941 |
Quality
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 156 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Prohealth Oconomowoc Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Prohealth Oconomowoc Memorial Hospital for an inpatient hip or knee replacement stay was $12,643 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,922 per outpatient case (APC 5115, 403 cases).
What is Prohealth Oconomowoc Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,271, 5.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Prohealth Oconomowoc Memorial Hospital?
Yes for Medicare facility payments. The Orthopaedic Surgery Center LLC, an orthopedic surgery center 11.5 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $3,762 less than an inpatient stay at Prohealth Oconomowoc Memorial Hospital. Not every patient is a surgery-center candidate.
How does Prohealth Oconomowoc Memorial Hospital compare with other Wisconsin hospitals?
Prohealth Oconomowoc Memorial Hospital's average total payment per Medicare stay is lower than 85% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.