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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,446 | $48,531 | 3.9× | $11,736 |
| Shoulder replacement | — | — | — | $16,714 |
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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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).
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.
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.