Price AtlasInteractive atlas · All states · techysurgeon.comUnitypoint Health - Meriter: what a joint replacement costs
Madison, WI 53715 · CMS Certification Number 520089. 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 Unitypoint Health - Meriter
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,146 |
| Shoulder replacement | — | — | — | $17,359 |
| Hip replacement after a fracture (DRG 522) | $16,435 | $79,910 | 4.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,452 | — | $19,326–$46,834 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Wellmark BCBS | $46,834 | — | 1 |
| HealthPartners | $42,156 | — | 1 |
| Cigna | $37,899 | — | 1 |
| Elevance/Anthem/Empire | $31,452 | — | 1 |
| UnitedHealthcare | $29,951 | — | 1 |
| Quartz | $21,365 | — | 1 |
| Medical Associates Health Plan | $19,326 | — | 1 |
From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 448 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Unitypoint Health - Meriter for a knee or hip replacement?
The Medicare allowed amount averaged $12,146 per outpatient hip or knee replacement case (APC 5115, 85 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Unitypoint Health - Meriter?
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). Not every patient is a surgery-center candidate.
What do commercial insurers pay Unitypoint Health - Meriter 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 $31,452 across 7 insurers, ranging from $19,326 to $46,834.