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Ssm Health St Mary's Hospital - Janesville: what a joint replacement costs

Janesville, WI 53546 · CMS Certification Number 520208. 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
$8,792
Orthomidwest Surgery Center, LLC, 10.9 mi
Outpatient here
$12,360
65 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Ssm Health St Mary's Hospital - Janesville

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,360
Shoulder replacement————

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 50 beds

Wisconsin has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Ssm Health St Mary's Hospital - Janesville for a knee or hip replacement?

Medicare allowed an average of $12,360 per outpatient hip or knee replacement case (APC 5115, 65 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Ssm Health St Mary's Hospital - Janesville?

Yes for Medicare facility payments. Orthomidwest Surgery Center, LLC, an orthopedic surgery center 10.9 mi away, is paid about $8,792 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.