Price AtlasInteractive atlas · All states · techysurgeon.comFroedtert West Bend Hospital: what a joint replacement costs
West Bend, WI 53095 · CMS Certification Number 520063. 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 Froedtert West Bend Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,488 | $77,587 | 6.2× | $11,815 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,299 | 3.1× | $35,318–$50,549 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Wisconsin Physician Services | $50,549 | 4.0× | 1 |
| Elevance/Anthem/Empire | $43,915 | 3.5× | 1 |
| Sheboygan Employers Health Network | $42,667 | 3.4× | 1 |
| Centivo | $39,736 | 3.2× | 1 |
| HealthPartners | $39,299 | 3.1× | 1 |
| UnitedHealthcare | $37,939 | 3.0× | 1 |
| Network Health Plan | $36,167 | 2.9× | 1 |
| Froedtert South | $35,536 | 2.8× | 1 |
| Chorus Community Health Plan | $35,318 | 2.8× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 121 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Froedtert West Bend Hospital for a knee or hip replacement?
In 2024 the average total payment to Froedtert West Bend Hospital for an inpatient hip or knee replacement stay was $12,488 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,815 per outpatient case (APC 5115, 65 cases).
What is Froedtert West Bend Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,587, 6.2× 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 Froedtert West Bend Hospital?
Yes for Medicare facility payments. Froedtert Health West Bend Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $3,607 less than an inpatient stay at Froedtert West Bend Hospital. Not every patient is a surgery-center candidate.
How does Froedtert West Bend Hospital compare with other Wisconsin hospitals?
Froedtert West Bend Hospital's average total payment per Medicare stay is lower than 90% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Froedtert West Bend Hospital 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 $39,299 across 9 insurers, ranging from $35,318 to $50,549.