Price AtlasInteractive atlas · All states · techysurgeon.comAurora Medical Ctr Kenosha: what a joint replacement costs
Kenosha, WI 53142 · CMS Certification Number 520189. 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 Aurora Medical Ctr Kenosha
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,227 |
| Shoulder replacement | — | — | — | $17,050 |
| Hip replacement after a fracture (DRG 522) | $14,952 | $84,163 | 5.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,256 | — | $26,116–$41,481 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $41,481 | — | 1 |
| Wisconsin Physician Service | $37,537 | — | 1 |
| Quartz Group | $36,843 | — | 1 |
| Elevance/Anthem/Empire | $35,627 | — | 1 |
| Health Payment Systems | $34,882 | — | 1 |
| HS Technology | $33,952 | — | 1 |
| Aurora Caregiver | $33,609 | — | 1 |
| HealthPartners | $33,256 | — | 1 |
| Trilogy | $33,087 | — | 1 |
| Quartz One | $31,488 | — | 1 |
| Common Ground | $29,076 | — | 1 |
| Aetna | $28,354 | — | 1 |
| Everpointe Elite | $27,349 | — | 1 |
| Centivo | $26,785 | — | 1 |
| UnitedHealthcare | $26,116 | — | 1 |
From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 74 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Aurora Medical Ctr Kenosha for a knee or hip replacement?
The Medicare allowed amount averaged $12,227 per outpatient hip or knee replacement case (APC 5115, 83 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Aurora Medical Ctr Kenosha?
Yes for Medicare facility payments. Wisconsin Specialty Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,988 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Aurora Medical Ctr Kenosha 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 $33,256 across 15 insurers, ranging from $26,116 to $41,481.