Manitowoc, WI 54221 · CMS Certification Number 520107. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,496 |
| Shoulder replacement | — | — | — | $16,725 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,907 | — | $24,909–$39,736 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Centivo | $39,736 | — | 1 |
| HealthPartners | $39,299 | — | 1 |
| Medical College of Wisconsin | $38,863 | — | 1 |
| Network Health Plan | $36,167 | — | 1 |
| UnitedHealthcare | $35,907 | — | 1 |
| Elevance/Anthem/Empire | $33,956 | — | 1 |
| Dean Health Plan | $33,570 | — | 1 |
| WPS Health Plan | $27,181 | — | 1 |
| Health Payment Systems | $24,909 | — | 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.
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 167 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $11,496 per outpatient hip or knee replacement case (APC 5115, 62 cases) in 2024. Inpatient stays were too few to report.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $35,907 across 9 insurers, ranging from $24,909 to $39,736.