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Oakleaf Surgical Hospital: what a joint replacement costs

Altoona, WI 54720 · CMS Certification Number 520196. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,736
Medicare allowed amount, 376 cases, APC 5115
Inpatient here
$12,446
Avg total payment (incl. patient share), 23 Medicare stays, MS-DRG 470

Medicare prices at Oakleaf Surgical Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,446$48,5313.9×$11,736
Shoulder replacement———$16,714

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.6%. Physician-owned · Acute · 13 beds

Wisconsin has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Oakleaf Surgical Hospital for a knee or hip replacement?

In 2024 the average total payment to Oakleaf Surgical Hospital for an inpatient hip or knee replacement stay was $12,446 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,736 per outpatient case (APC 5115, 376 cases).

What is Oakleaf Surgical Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,531, 3.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Oakleaf Surgical Hospital compare with other Wisconsin hospitals?

Oakleaf Surgical Hospital's average total payment per Medicare stay is lower than 95% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.