What Medicare pays Wisconsin hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
Wisconsin has a certificate-of-need program that does not cover surgery centers.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Oakleaf Surgical Hospital | Altoona | $12,446 | $48,531 | $11,736 |
| Froedtert West Bend Hospital | West Bend | $12,488 | $77,587 | $11,815 |
| Prohealth Oconomowoc Memorial Hospital | Oconomowoc | $12,643 | $73,271 | $11,922 |
| Marshfield Medical Center - Weston | Weston | $12,805 | $57,740 | $11,683 |
| Orthopaedic Hospital of Wisconsin | Glendale | $13,010 | $74,454 | $11,462 |
| Midwest Orthopedic Specialty Hospital | Franklin | $13,197 | $52,364 | $11,733 |
| Aspirus Wausau Hospital | Wausau | $13,527 | $53,526 | $11,446 |
| Aurora Medical Center | Grafton | $13,880 | $95,081 | $11,769 |
| Froedtert Menomonee Falls Hospital | Menomonee Falls | $14,207 | $83,461 | $11,800 |
| Ssm Health St Mary's Hospital - Madison | Madison | $14,316 | $59,690 | $12,129 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee | $25,382 | $136,288 | $12,068 |
| University of Wi Hospitals & Clinics Authority | Madison | $20,018 | $69,609 | $12,187 |
| Marshfield Medical Center | Marshfield | $16,579 | $61,255 | $12,450 |
| Ascension All Saints Hospital | Racine | $16,496 | $69,132 | $11,919 |
| Aurora St Lukes Medical Center | Milwaukee | $16,346 | $93,710 | $12,049 |
| Froedtert Pleasant Prairie Hospital | Pleasant Prairie | $15,926 | $87,993 | $12,360 |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee | $15,741 | $58,884 | $11,672 |
| Aurora West Allis Medical Center | West Allis | $14,780 | $98,416 | $11,663 |
| Mayo Clinic Health System in Eau Claire | Eau Claire | $14,468 | $39,396 | $12,393 |
| Thedacare Regional Medical Center - Appleton Inc | Appleton | $14,438 | $40,101 | $11,568 |
In 2024 Medicare paid Wisconsin hospitals a median $14,377 per inpatient hip or knee replacement stay (MS-DRG 470, 20 hospitals) and a median $11,897 per outpatient case. An orthopedic surgery center is paid about $8,881 for a knee.
Oakleaf Surgical Hospital ($12,446), Froedtert West Bend Hospital ($12,488), Prohealth Oconomowoc Memorial Hospital ($12,643).
The median list (chargemaster) price is $69,371, about 4.8× what Medicare pays.
Wisconsin has a certificate-of-need program that does not cover surgery centers. No general CON; state approval is required only for nursing home and ICF/IID bed capacity.