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Orthopaedic Hospital of Wisconsin: what a joint replacement costs

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.

Surgery center nearby
$8,881
Froedtert Surgery Center, 7.0 mi
Outpatient here
$11,462
Medicare allowed amount, 141 cases, APC 5115
Inpatient here
$13,010
Avg total payment (incl. patient share), 195 Medicare stays, MS-DRG 470

Medicare prices at Orthopaedic Hospital of Wisconsin

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,010$74,4545.7×$11,462
Shoulder replacement$19,862$69,9383.5×$16,941

Quality

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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Questions

How much does Medicare pay Orthopaedic Hospital of Wisconsin for a knee or hip replacement?

In 2024 the average total payment to Orthopaedic Hospital of Wisconsin for an inpatient hip or knee replacement stay was $13,010 (MS-DRG 470, 195 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,462 per outpatient case (APC 5115, 141 cases).

What is Orthopaedic Hospital of Wisconsin's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,454, 5.7× 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 Orthopaedic Hospital of Wisconsin?

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.

How does Orthopaedic Hospital of Wisconsin compare with other Wisconsin hospitals?

Orthopaedic Hospital of Wisconsin's average total payment per Medicare stay is lower than 75% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.