Price AtlasInteractive atlas · All states · techysurgeon.comFroedtert 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.
Medicare prices at Froedtert Menomonee Falls Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,207 | $83,461 | 5.9× | $11,800 |
| Shoulder replacement | $26,036 | $109,196 | 4.2× | $16,194 |
| Hip replacement after a fracture (DRG 522) | $19,719 | $93,925 | 4.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,050 | 2.7× | $35,318–$52,611 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $52,611 | 3.7× | 1 |
| Wisconsin Physician Services | $44,644 | 3.1× | 1 |
| Elevance/Anthem/Empire | $44,135 | 3.1× | 1 |
| Centivo | $39,736 | 2.8× | 1 |
| HealthPartners | $39,299 | 2.8× | 1 |
| UnitedHealthcare | $36,802 | 2.6× | 1 |
| Network Health Plan | $36,167 | 2.5× | 1 |
| Sheboygan Employers Health Network | $35,714 | 2.5× | 1 |
| Froedtert South | $35,536 | 2.5× | 1 |
| Chorus Community Health Plan | $35,318 | 2.5× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
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 the average total payment to Froedtert Menomonee Falls Hospital for an inpatient hip or knee replacement stay was $14,207 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Froedtert Menomonee Falls Hospital's average total payment per Medicare stay is lower than 55% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Froedtert Menomonee Falls Hospital 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 $38,050 across 10 insurers, ranging from $35,318 to $52,611.