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Froedtert Memorial Lutheran Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,881
Froedtert Surgery Center, same ZIP
Outpatient here
$12,068
Medicare allowed amount, 36 cases, APC 5115
Inpatient here
$25,382
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Froedtert Memorial Lutheran Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$25,382$136,2885.4×$12,068
Shoulder replacement$27,757$117,5724.2×$16,564
Hip replacement after a fracture (DRG 522)$21,758$127,2745.8×—

Quality

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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Questions

How much does Medicare pay Froedtert Memorial Lutheran Hospital for a knee or hip replacement?

In 2024 the average total payment to Froedtert Memorial Lutheran Hospital for an inpatient hip or knee replacement stay was $25,382 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,068 per outpatient case (APC 5115, 36 cases).

What is Froedtert Memorial Lutheran Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $136,288, 5.4× 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 Froedtert Memorial Lutheran Hospital?

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.

How does Froedtert Memorial Lutheran Hospital compare with other Wisconsin hospitals?

Froedtert Memorial Lutheran Hospital's average total payment per Medicare stay is higher than 100% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.