Price AtlasInteractive atlas · All states · techysurgeon.comThedacare Regional Medical Center - Appleton Inc: what a joint replacement costs
Appleton, WI 54911 · CMS Certification Number 520160. 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 Thedacare Regional Medical Center - Appleton Inc
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,438 | $40,101 | 2.8× | $11,568 |
| Shoulder replacement | — | — | — | $16,403 |
| Hip replacement after a fracture (DRG 522) | $16,646 | $49,069 | 2.9× | — |
Quality
Complications after hip or knee replacement: 2.7% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 160 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Thedacare Regional Medical Center - Appleton Inc for a knee or hip replacement?
In 2024 Medicare paid Thedacare Regional Medical Center - Appleton Inc an average of $14,438 per inpatient hip or knee replacement stay (MS-DRG 470, 40 stays) and $11,568 per outpatient case (APC 5115, 220 cases).
What is Thedacare Regional Medical Center - Appleton Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,101, 2.8× what Medicare paid. 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 Thedacare Regional Medical Center - Appleton Inc?
Yes for Medicare facility payments. Arthroscopic Surgery Center, an orthopedic surgery center 3.9 mi away, is paid about $8,715 by Medicare for a knee replacement (CPT 27447), $5,723 less than an inpatient stay at Thedacare Regional Medical Center - Appleton Inc. Not every patient is a surgery-center candidate.
How does Thedacare Regional Medical Center - Appleton Inc compare with other Wisconsin hospitals?
Medicare paid Thedacare Regional Medical Center - Appleton Inc more than 55% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.