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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Aurora Medical Center less than 60% of the 20 Wisconsin hospitals that report inpatient hip or knee replacement.