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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $13,088 | 0.9× | $11,622–$14,553 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $14,553 | 1.0× | 1 |
| HealthPartners | $11,622 | 0.8× | 1 |
From the hospital's price-transparency file (2026-08-07); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-07); commercial plans, dollar-amount contracts only.
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 the average total payment to Thedacare Regional Medical Center - Appleton Inc for an inpatient hip or knee replacement stay was $14,438 (MS-DRG 470, 40 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Thedacare Regional Medical Center - Appleton Inc's average total payment per Medicare stay is higher than 55% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Thedacare Regional Medical Center - Appleton Inc 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 $13,088 across 2 insurers, ranging from $11,622 to $14,553.