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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,741 | $58,884 | 3.7× | $11,672 |
| Shoulder replacement | — | — | — | $16,941 |
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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In 2024 Medicare paid Ascension Se Wisconsin Hospital - St Joseph Campus an average of $15,741 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $11,672 per outpatient case (APC 5115, 74 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,884, 3.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Ascension Se Wisconsin Hospital - St Joseph Campus more than 70% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.