Milwaukee, WI 53226 · CMS Certification Number 520177. 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 | $25,382 | $136,288 | 5.4× | $12,068 |
| Shoulder replacement | $27,757 | $117,572 | 4.2× | $16,564 |
| Hip replacement after a fracture (DRG 522) | $21,758 | $127,274 | 5.8× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 596 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Froedtert Memorial Lutheran Hospital an average of $25,382 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,068 per outpatient case (APC 5115, 36 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $136,288, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Froedtert Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $16,501 less than an inpatient stay at Froedtert Memorial Lutheran Hospital. Not every patient is a surgery-center candidate.
Medicare paid Froedtert Memorial Lutheran Hospital more than 100% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.