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Aurora St Lukes Medical Center: what a joint replacement costs

Milwaukee, WI 53215 · CMS Certification Number 520138. 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
Aurora 84 South Ambulatory Surgery Center, 5.5 mi
Outpatient here
$12,049
Medicare allowed amount, 223 cases, APC 5115
Inpatient here
$16,346
Avg total payment (incl. patient share), 42 Medicare stays, MS-DRG 470

Medicare prices at Aurora St Lukes Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,346$93,7105.7×$12,049
Shoulder replacement$21,048$129,0236.1×$16,565
Hip replacement after a fracture (DRG 522)$17,706$103,0645.8×—

Quality

Complications after hip or knee replacement: 2.7% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1213 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 St Lukes Medical Center for a knee or hip replacement?

In 2024 the average total payment to Aurora St Lukes Medical Center for an inpatient hip or knee replacement stay was $16,346 (MS-DRG 470, 42 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,049 per outpatient case (APC 5115, 223 cases).

What is Aurora St Lukes Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $93,710, 5.7× 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 Aurora St Lukes Medical Center?

Yes for Medicare facility payments. Aurora 84 South Ambulatory Surgery Center, an orthopedic surgery center 5.5 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $7,465 less than an inpatient stay at Aurora St Lukes Medical Center. Not every patient is a surgery-center candidate.

How does Aurora St Lukes Medical Center compare with other Wisconsin hospitals?

Aurora St Lukes Medical Center's average total payment per Medicare stay is higher than 80% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.