Price AtlasInteractive atlas · All states · techysurgeon.comAurora Medical Center: what a joint replacement costs
Grafton, WI 53024 · CMS Certification Number 520207. 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.
Medicare prices at Aurora Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,880 | $95,081 | 6.9× | $11,769 |
| Shoulder replacement | — | — | — | $16,941 |
| Hip replacement after a fracture (DRG 522) | $14,283 | $106,506 | 7.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,609 | 2.4× | $26,116–$41,481 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $41,481 | 3.0× | 1 |
| Quartz Group | $40,595 | 2.9× | 1 |
| Elevance/Anthem/Empire | $40,234 | 2.9× | 1 |
| Wisconsin Physician Service | $37,537 | 2.7× | 1 |
| Health Payment Systems | $34,882 | 2.5× | 1 |
| Quartz One | $34,693 | 2.5× | 1 |
| HS Technology | $33,952 | 2.4× | 1 |
| Aurora Caregiver | $33,609 | 2.4× | 1 |
| HealthPartners | $33,256 | 2.4× | 1 |
| Trilogy | $33,087 | 2.4× | 1 |
| Common Ground | $29,076 | 2.1× | 1 |
| Aetna | $28,354 | 2.0× | 1 |
| Everpointe Elite | $27,349 | 2.0× | 1 |
| Centivo | $26,785 | 1.9× | 1 |
| UnitedHealthcare | $26,116 | 1.9× | 1 |
From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-11-21); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 62 beds
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Aurora Medical Center for a knee or hip replacement?
In 2024 the average total payment to Aurora Medical Center for an inpatient hip or knee replacement stay was $13,880 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,769 per outpatient case (APC 5115, 184 cases).
What is Aurora Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,081, 6.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Aurora Medical Center?
Yes for Medicare facility payments. Aurora Healthcare - Germantown, an orthopedic surgery center 11.5 mi away, is paid about $8,881 by Medicare for a knee replacement (CPT 27447), $4,999 less than an inpatient stay at Aurora Medical Center. Not every patient is a surgery-center candidate.
How does Aurora Medical Center compare with other Wisconsin hospitals?
Aurora Medical Center's average total payment per Medicare stay is lower than 60% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Aurora Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $33,609 across 15 insurers, ranging from $26,116 to $41,481.