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Mayo Clinic Health System in Eau Claire: what a joint replacement costs

Eau Claire, WI 54703 · CMS Certification Number 520070. 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
$12,393
Medicare allowed amount, 290 cases, APC 5115
Inpatient here
$14,468
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Mayo Clinic Health System in Eau Claire

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,468$39,3962.7×$12,393
Shoulder replacement———$17,641
Hip replacement after a fracture (DRG 522)$16,297$51,8083.2×—

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 304 beds

Wisconsin has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Mayo Clinic Health System in Eau Claire for a knee or hip replacement?

In 2024 the average total payment to Mayo Clinic Health System in Eau Claire for an inpatient hip or knee replacement stay was $14,468 (MS-DRG 470, 32 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,393 per outpatient case (APC 5115, 290 cases).

What is Mayo Clinic Health System in Eau Claire's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,396, 2.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Mayo Clinic Health System in Eau Claire compare with other Wisconsin hospitals?

Mayo Clinic Health System in Eau Claire's average total payment per Medicare stay is higher than 60% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.