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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Froedtert Menomonee Falls Hospital less than 55% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.