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Froedtert 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.

Surgery center nearby
$8,881
Froedtert Health West Bend Surgery Center, same ZIP
Outpatient here
$11,815
65 Medicare cases, APC 5115
Inpatient here
$12,488
11 Medicare stays, MS-DRG 470

Medicare prices at Froedtert West Bend Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,488$77,5876.2×$11,815
Shoulder replacement————

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 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).

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× what Medicare paid. 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?

Medicare paid Froedtert West Bend Hospital less than 90% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.