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Unitypoint 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.

Surgery center nearby
$8,977
Ssm Health Surgery Center, same ZIP
Outpatient here
$12,146
85 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Unitypoint Health - Meriter

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,146
Shoulder replacement———$17,359
Hip replacement after a fracture (DRG 522)$16,435$79,9104.9×—

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.

Open the interactive price tagBuild a reportAll Wisconsin hospitals

Questions

How much does Medicare pay Unitypoint Health - Meriter for a knee or hip replacement?

Medicare allowed an average of $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.