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Aurora 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.

Surgery center nearby
$8,881
Aurora Healthcare - Germantown, 11.5 mi
Outpatient here
$11,769
184 Medicare cases, APC 5115
Inpatient here
$13,880
20 Medicare stays, MS-DRG 470

Medicare prices at Aurora Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,880$95,0816.9×$11,769
Shoulder replacement———$16,941
Hip replacement after a fracture (DRG 522)$14,283$106,5067.5×—

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 Medicare paid Aurora Medical Center an average of $13,880 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $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× what Medicare paid. 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?

Medicare paid Aurora Medical Center less than 60% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.