Price AtlasInteractive atlas · All states · techysurgeon.comAurora West Allis Medical Center: what a joint replacement costs
West Allis, WI 53227 · CMS Certification Number 520139. 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.
Medicare prices at Aurora West Allis Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,780 | $98,416 | 6.7× | $11,663 |
| Shoulder replacement | — | — | — | $15,410 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,780 | 2.3× | $26,116–$41,481 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $41,481 | 2.8× | 1 |
| Quartz Group | $40,595 | 2.7× | 1 |
| Elevance/Anthem/Empire | $40,234 | 2.7× | 1 |
| Wisconsin Physician Service | $37,537 | 2.5× | 1 |
| Health Payment Systems | $34,882 | 2.4× | 1 |
| Quartz One | $34,693 | 2.3× | 1 |
| HS Technology | $33,952 | 2.3× | 1 |
| Aurora Caregiver | $33,609 | 2.3× | 1 |
| HealthPartners | $33,256 | 2.3× | 1 |
| Trilogy | $33,087 | 2.2× | 1 |
| Common Ground | $29,076 | 2.0× | 1 |
| Everpointe Elite | $27,349 | 1.9× | 1 |
| Centivo | $26,785 | 1.8× | 1 |
| UnitedHealthcare | $26,116 | 1.8× | 1 |
From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 149 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 West Allis Medical Center for a knee or hip replacement?
In 2024 the average total payment to Aurora West Allis Medical Center for an inpatient hip or knee replacement stay was $14,780 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,663 per outpatient case (APC 5115, 85 cases).
What is Aurora West Allis Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,416, 6.7× 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 West Allis Medical Center?
Yes for Medicare facility payments. Aurora 84 South Ambulatory Surgery Center, an orthopedic surgery center 1.9 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $5,899 less than an inpatient stay at Aurora West Allis Medical Center. Not every patient is a surgery-center candidate.
How does Aurora West Allis Medical Center compare with other Wisconsin hospitals?
Aurora West Allis Medical Center's average total payment per Medicare stay is higher than 65% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Aurora West Allis 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 $33,780 across 14 insurers, ranging from $26,116 to $41,481.