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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,488 | $77,587 | 6.2× | $11,815 |
| Shoulder replacement | — | — | — | — |
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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In 2024 Medicare paid Froedtert West Bend Hospital an average of $12,488 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,815 per outpatient case (APC 5115, 65 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,587, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Froedtert West Bend Hospital less than 90% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.