Racine, WI 53405 · CMS Certification Number 520096. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,496 | $69,132 | 4.2× | $11,919 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 553 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Ascension All Saints Hospital an average of $16,496 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $11,919 per outpatient case (APC 5115, 24 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $69,132, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Drexel Town Square Surgery Center, an orthopedic surgery center 11.0 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $7,615 less than an inpatient stay at Ascension All Saints Hospital. Not every patient is a surgery-center candidate.
Medicare paid Ascension All Saints Hospital more than 85% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.