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Ascension Se Wisconsin Hospital - St Joseph Campus: what a joint replacement costs

Milwaukee, WI 53210 · CMS Certification Number 520136. 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
$8,881
Froedtert Surgery Center, 3.7 mi
Outpatient here
$11,672
Medicare allowed amount, 74 cases, APC 5115
Inpatient here
$15,741
Avg total payment (incl. patient share), 34 Medicare stays, MS-DRG 470

Medicare prices at Ascension Se Wisconsin Hospital - St Joseph Campus

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,741$58,8843.7×$11,672
Shoulder replacement———$16,941

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,8431.3×$19,974–$21,7122
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Smarthealth Employees 20191001 Tlk Adj - Model$21,7121.4×1
Smart Health$19,9741.3×1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 538 beds

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

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Questions

How much does Medicare pay Ascension Se Wisconsin Hospital - St Joseph Campus for a knee or hip replacement?

In 2024 the average total payment to Ascension Se Wisconsin Hospital - St Joseph Campus for an inpatient hip or knee replacement stay was $15,741 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,672 per outpatient case (APC 5115, 74 cases).

What is Ascension Se Wisconsin Hospital - St Joseph Campus's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,884, 3.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Ascension Se Wisconsin Hospital - St Joseph Campus?

Yes for Medicare facility payments. Froedtert Surgery Center, an orthopedic surgery center 3.7 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $6,860 less than an inpatient stay at Ascension Se Wisconsin Hospital - St Joseph Campus. Not every patient is a surgery-center candidate.

How does Ascension Se Wisconsin Hospital - St Joseph Campus compare with other Wisconsin hospitals?

Ascension Se Wisconsin Hospital - St Joseph Campus's average total payment per Medicare stay is higher than 70% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Ascension Se Wisconsin Hospital - St Joseph Campus 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 $20,843 across 2 insurers, ranging from $19,974 to $21,712.