Glendale, WI 53212 · CMS Certification Number 520194. 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 | $13,010 | $74,454 | 5.7× | $11,462 |
| Shoulder replacement | $19,862 | $69,938 | 3.5× | $16,941 |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 3.8%. Physician-owned · Acute · 30 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Orthopaedic Hospital of Wisconsin an average of $13,010 per inpatient hip or knee replacement stay (MS-DRG 470, 195 stays) and $11,462 per outpatient case (APC 5115, 141 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,454, 5.7× 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 7.0 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $4,129 less than an inpatient stay at Orthopaedic Hospital of Wisconsin. Not every patient is a surgery-center candidate.
Medicare paid Orthopaedic Hospital of Wisconsin less than 75% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.