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Froedtert Menomonee Falls Hospital: what a joint replacement costs

Menomonee Falls, WI 53051 · CMS Certification Number 520103. 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
$8,881
Menomonee Falls ASC, same ZIP
Outpatient here
$11,800
297 Medicare cases, APC 5115
Inpatient here
$14,207
25 Medicare stays, MS-DRG 470

Medicare prices at Froedtert Menomonee Falls Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,207$83,4615.9×$11,800
Shoulder replacement$26,036$109,1964.2×$16,194
Hip replacement after a fracture (DRG 522)$19,719$93,9254.8×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 237 beds

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

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Questions

How much does Medicare pay Froedtert Menomonee Falls Hospital for a knee or hip replacement?

In 2024 Medicare paid Froedtert Menomonee Falls Hospital an average of $14,207 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $11,800 per outpatient case (APC 5115, 297 cases).

What is Froedtert Menomonee Falls Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,461, 5.9× 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 Froedtert Menomonee Falls Hospital?

Yes for Medicare facility payments. Menomonee Falls ASC, an orthopedic surgery center same ZIP away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $5,326 less than an inpatient stay at Froedtert Menomonee Falls Hospital. Not every patient is a surgery-center candidate.

How does Froedtert Menomonee Falls Hospital compare with other Wisconsin hospitals?

Medicare paid Froedtert Menomonee Falls Hospital less than 55% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.