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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,780 | $98,416 | 6.7× | $11,663 |
| Shoulder replacement | — | — | — | $15,410 |
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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In 2024 Medicare paid Aurora West Allis Medical Center an average of $14,780 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,663 per outpatient case (APC 5115, 85 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,416, 6.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. 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.
Medicare paid Aurora West Allis Medical Center more than 65% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.