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University of Wi Hospitals & Clinics Authority: what a joint replacement costs

Madison, WI 53792 · CMS Certification Number 520098. 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, 2.6 mi
Outpatient here
$12,187
759 Medicare cases, APC 5115
Inpatient here
$20,018
90 Medicare stays, MS-DRG 470

Medicare prices at University of Wi Hospitals & Clinics Authority

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,018$69,6093.5×$12,187
Shoulder replacement$26,370$100,0973.8×$17,359
Hip replacement after a fracture (DRG 522)$22,260$92,8304.2×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 536 beds

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

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Questions

How much does Medicare pay University of Wi Hospitals & Clinics Authority for a knee or hip replacement?

In 2024 Medicare paid University of Wi Hospitals & Clinics Authority an average of $20,018 per inpatient hip or knee replacement stay (MS-DRG 470, 90 stays) and $12,187 per outpatient case (APC 5115, 759 cases).

What is University of Wi Hospitals & Clinics Authority's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $69,609, 3.5× 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 University of Wi Hospitals & Clinics Authority?

Yes for Medicare facility payments. Ssm Health Surgery Center, an orthopedic surgery center 2.6 mi away, is paid about $8,977 by Medicare for a knee replacement (CPT 27447), $11,041 less than an inpatient stay at University of Wi Hospitals & Clinics Authority. Not every patient is a surgery-center candidate.

How does University of Wi Hospitals & Clinics Authority compare with other Wisconsin hospitals?

Medicare paid University of Wi Hospitals & Clinics Authority more than 95% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.