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Shoulder replacement in Wisconsin: what insurers pay

Posted commercial rates at 51 Wisconsin hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
Unitypoint Health - Meriter Madison$8,6500.5×12026-01-28
Watertown Regional Medical Center Watertown$9,0040.5×12026-04-01
Marshfield Medical Center - Beaver Dam Beaver Dam$10,3870.6×12026-02-20
Gundersen Boscobel Area Hospital And Clinics Boscobel$12,0490.7×22026-06-27
Froedtert Holy Family Memorial Hospital Manitowoc$13,0070.8×32025-12-31
Orthopaedic Hospital Of Wisconsin Glendale$14,4240.8×32026-01-01
Gundersen St Josephs Hospital And Clinics Hillsboro$15,1180.9×12026-06-27
Froedtert Menomonee Falls Hospital Menomonee Falls$15,5800.9×42025-12-31
Froedtert Community Hospital New Berlin$16,4980.9×42025-12-31
Froedtert West Bend Hospital West Bend$16,9341.0×42025-12-31
Marshfield Medical Center - Rice Lake Rice Lake$19,2081.1×12026-02-20
Marshfield Medical Center - Eau Claire Eau Claire$19,4101.1×12026-02-20
Aurora Medical Ctr Manitowoc County Two Rivers$20,1201.2×122025-11-21
Aurora Medical Center Sheboygan County Sheboygan$20,1201.2×122025-11-21
Aurora Medical Ctr Washington County Hartford$20,1201.1×122025-11-21
Aurora Medical Center Burlington Burlington$20,1201.1×122025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$20,1201.2×122025-11-21
Aurora Medical Center Summit Summit$20,1201.1×122025-11-21
Aurora Medical Center Grafton$20,1201.1×122025-11-21
Aspirus Wausau Hospital Wausau$20,2651.2×22026-04-01
Aurora Lakeland Medical Center Elkhorn$20,7001.2×122025-11-21
Aurora Medical Center Bay Area Marinette$20,7001.2×122025-11-21
Aurora Medical Ctr Kenosha Kenosha$20,7001.2×122025-11-21
Aurora West Allis Medical Center West Allis$20,8561.2×122025-11-21
Aurora Baycare Medical Ctr Green Bay$20,8561.2×122025-11-21
Bellin Memorial Hospital Green Bay$20,9901.2×52026-06-27
Aspirus Divine Savior Hospital Portage$24,4931.4×42026-04-01
Gundersen Lutheran Medical Center La Crosse$24,6771.4×22026-06-27
Ascension St Francis Hospital Milwaukee$27,0401.6×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph Campus Milwaukee$27,0401.6×12026-01-01
Aspirus Stevens Point Hospital Stevens Point$42,8872.5×22026-04-01
Aspirus Rhinelander Hospital Rhinelander$42,8872.5×22026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$42,8872.5×22026-04-01
Howard Young Medical Ctr Woodruff$42,8872.5×22026-04-01
Westfields Hospital And Clinic New Richmond$45,6382.5×12026-03-31

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Thedacare Regional Medical Center - Appleton Inc Appleton$13,0880.7×22026-08-07
Ascension Columbia St Mary'S Hospital Milwaukee Ca Milwaukee$15,7710.8×102026-01-01
Ascension Ne Wisconsin - St Elizabeth Campus Appleton$25,3521.3×12026-01-01
Ascension St Francis Hospital Milwaukee$26,3791.3×12026-01-01
Gundersen Moundview Hospital And Clinics Friendship$27,1261.4×42026-06-27
Ascension Se Wisconsin Hospital - St Joseph Campus Milwaukee$28,7031.5×12026-01-01
Stoughton Hospital Stoughton$30,7041.6×42026-06-11
Watertown Regional Medical Center Watertown$31,6001.6×52026-04-01
Hudson Hospital & Clinic Hudson$32,2611.6×42026-03-31
Essentia Health St Mary'S Hospital - Superior Superior$32,5171.7×12026-01-01
Gundersen Boscobel Area Hospital And Clinics Boscobel$34,3531.8×42026-06-27
Gundersen St Josephs Hospital And Clinics Hillsboro$35,4481.8×42026-06-27
Gundersen Lutheran Medical Center La Crosse$39,0682.0×42026-06-27
Bellin Memorial Hospital Green Bay$40,2322.1×92026-06-27
Marshfield Medical Center - Beaver Dam Beaver Dam$41,9472.2×42026-02-20
Unitypoint Health - Meriter Madison$42,5072.2×72026-01-28
Marshfield Medical Center - Rice Lake Rice Lake$42,7742.2×42026-02-20
Marshfield Medical Center - Weston Weston$46,7722.4×52026-02-20
Aurora Medical Center Bay Area Marinette$46,8772.5×152025-11-21
Marshfield Medical Center - Eau Claire Eau Claire$46,9922.4×62026-02-20
Marshfield Medical Center - Minocqua Minocqua$46,9922.5×62026-02-20
Aurora Medical Ctr Manitowoc County Two Rivers$47,1422.5×152025-11-21
Aurora Medical Center Sheboygan County Sheboygan$47,1422.5×152025-11-21
Aurora Medical Ctr Washington County Hartford$47,1422.4×152025-11-21
Aurora Medical Center Burlington Burlington$47,1422.4×152025-11-21
Aurora Lakeland Medical Center Elkhorn$47,1422.5×152025-11-21
Aurora Medical Ctr Kenosha Kenosha$47,1422.5×152025-11-21
Aurora Baycare Medical Ctr Green Bay$47,1422.5×152025-11-21
Aurora Medical Ctr Oshkosh Oshkosh$47,1422.5×152025-11-21
Aurora Medical Center Summit Summit$47,1422.4×152025-11-21
Aurora Medical Center Grafton$47,1422.4×152025-11-21
Aurora West Allis Medical Center West Allis$49,6542.5×142025-11-21
Froedtert Holy Family Memorial Hospital Manitowoc$51,6002.7×92025-12-31
Aspirus Divine Savior Hospital Portage$53,0092.8×62026-04-01
Froedtert Menomonee Falls Hospital Menomonee Falls$54,6802.8×102025-12-31
Froedtert West Bend Hospital West Bend$56,4752.9×92025-12-31
Marshfield Medical Center Marshfield$56,8703.0×62026-02-20
Aspirus Stevens Point Hospital Stevens Point$57,6563.0×32026-04-01
Aspirus Rhinelander Hospital Rhinelander$57,6563.0×32026-04-01
Aspirus Wausau Hospital Wausau$57,6563.0×52026-04-01
Aspirus Wisconsin Rapids Hospital Wisconsin Rapids$57,6563.0×32026-04-01
Aspirus Eagle River Hospital Eagle River$57,6563.0×12026-04-01
Aspirus Stanley Hospital Stanley$57,6562.9×12026-04-01
Aspirus Tomahawk Hospital Tomahawk$57,6563.0×12026-04-01
Aspirus Medford Hospital & Clinics, Inc Medford$57,6563.0×12026-04-01
Aspirus Merrill Hospital Merrill$57,6563.0×12026-04-01
Aspirus Langlade Hospital Antigo$57,6563.0×12026-04-01
Howard Young Medical Ctr Woodruff$60,4583.2×22026-04-01
Froedtert Community Hospital New Berlin$66,6733.4×112025-12-31

Questions

How much do insurers pay for shoulder replacement in Wisconsin?

51 Wisconsin hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 35 hospitals is $20,120, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.