Weston, WI 54476 · CMS Certification Number 520202. 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 | $12,805 | $57,740 | 4.5× | $11,683 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,608 | 2.7× | $24,389–$35,943 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| WPS Health Insurance | $35,943 | 2.8× | 1 |
| Medica | $35,941 | 2.8× | 1 |
| Elevance/Anthem/Empire | $34,608 | 2.7× | 1 |
| The Alliance | $33,620 | 2.6× | 1 |
| Security Health Plan (SHP) | $24,389 | 1.9× | 1 |
From the hospital's price-transparency file (2026-02-20); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-20); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 86 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 Marshfield Medical Center - Weston for an inpatient hip or knee replacement stay was $12,805 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,683 per outpatient case (APC 5115, 130 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,740, 4.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Wausau Surgery Center, an orthopedic surgery center 10.6 mi away, is paid about $8,415 by Medicare for a knee replacement (CPT 27447), $4,390 less than an inpatient stay at Marshfield Medical Center - Weston. Not every patient is a surgery-center candidate.
Marshfield Medical Center - Weston's average total payment per Medicare stay is lower than 80% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $34,608 across 5 insurers, ranging from $24,389 to $35,943.