Watertown, WI 53098 · CMS Certification Number 520116. 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 | — | — | — | $11,974 |
| Shoulder replacement | — | — | — | $16,941 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,989 | — | $17,431–$22,979 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $22,979 | — | 1 |
| Dean Health | $22,182 | — | 1 |
| Humana | $21,989 | — | 1 |
| UnitedHealthcare | $17,927 | — | 1 |
| Unity | $17,431 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 95 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $11,974 per outpatient hip or knee replacement case (APC 5115, 75 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 $21,989 across 5 insurers, ranging from $17,431 to $22,979.