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Aurora Medical Center Bay Area: what a joint replacement costs

Marinette, WI 54143 · CMS Certification Number 520113. 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
$8,389
Emplify Health Marinette Surgery Center, same ZIP
Outpatient here
$12,346
Medicare allowed amount, 36 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Aurora Medical Center Bay Area

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,346
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$33,087—$24,117–$41,48115
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$41,481—1
Wisconsin Physician Service$37,537—1
Quartz Group$36,843—1
Health Payment Systems$34,882—1
HS Technology$33,952—1
Aurora Caregiver$33,609—1
HealthPartners$33,256—1
Trilogy$33,087—1
Quartz One$31,488—1
Common Ground$29,076—1
Aetna$28,354—1
Everpointe Elite$27,349—1
Centivo$26,785—1
UnitedHealthcare$26,116—1
Elevance/Anthem/Empire$24,117—1

From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 99 beds

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

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Questions

How much does Medicare pay Aurora Medical Center Bay Area for a knee or hip replacement?

The Medicare allowed amount averaged $12,346 per outpatient hip or knee replacement case (APC 5115, 36 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Aurora Medical Center Bay Area?

Yes for Medicare facility payments. Emplify Health Marinette Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,389 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Aurora Medical Center Bay Area 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 $33,087 across 15 insurers, ranging from $24,117 to $41,481.