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Watertown Regional Medical Center: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,974
Medicare allowed amount, 75 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Watertown Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,974
Shoulder replacement———$16,941

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,989—$17,431–$22,9795
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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.

Quality

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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Questions

How much does Medicare pay Watertown Regional Medical Center for a knee or hip replacement?

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.

What do commercial insurers pay Watertown Regional Medical Center 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 $21,989 across 5 insurers, ranging from $17,431 to $22,979.