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Marshfield Medical Center - Beaver Dam: what a joint replacement costs

Beaver Dam, WI 53916 · CMS Certification Number 520076. 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
$11,984
Medicare allowed amount, 25 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Marshfield Medical Center - Beaver Dam

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,984
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,895—$24,430–$50,0224
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$50,022—1
The Alliance$38,270—1
UnitedHealthcare$31,520—1
Quartz$24,430—1

From the hospital's price-transparency file (2026-02-20); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-02-20); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 125 beds

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

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Questions

How much does Medicare pay Marshfield Medical Center - Beaver Dam for a knee or hip replacement?

The Medicare allowed amount averaged $11,984 per outpatient hip or knee replacement case (APC 5115, 25 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Marshfield Medical Center - Beaver Dam 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 $34,895 across 4 insurers, ranging from $24,430 to $50,022.