Price AtlasInteractive atlas · All states · techysurgeon.comSsm Health St Mary's Hospital - Madison: what a joint replacement costs
Madison, WI 53715 · CMS Certification Number 520083. 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 Ssm Health St Mary's Hospital - Madison
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,316 | $59,690 | 4.2× | $12,129 |
| Shoulder replacement | $19,050 | $105,581 | 5.5× | $17,359 |
| Hip replacement after a fracture (DRG 522) | $15,859 | $67,821 | 4.3× | — |
Quality
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 440 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Ssm Health St Mary's Hospital - Madison for a knee or hip replacement?
In 2024 Medicare paid Ssm Health St Mary's Hospital - Madison an average of $14,316 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $12,129 per outpatient case (APC 5115, 305 cases).
What is Ssm Health St Mary's Hospital - Madison's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $59,690, 4.2× 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 Ssm Health St Mary's Hospital - Madison?
Yes for Medicare facility payments. Ssm Health Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,977 by Medicare for a knee replacement (CPT 27447), $5,339 less than an inpatient stay at Ssm Health St Mary's Hospital - Madison. Not every patient is a surgery-center candidate.
How does Ssm Health St Mary's Hospital - Madison compare with other Wisconsin hospitals?
Medicare paid Ssm Health St Mary's Hospital - Madison less than 50% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.