Major hip and knee joint replacement or reattachment of lower extremity without major complications in Wisconsin
What 20 hospitals in Wisconsin charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$68,802
Hospital list price billed
Average payment
$14,936
Medicare + patient + other payers
Medicare paid
$12,171
Average per stay
State rank
#19 of 48
1 = lowest average payment
Hospitals in Wisconsin billed an average of $68,802 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.6 times the average total payment of $14,936. That payment is 14% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,936Billed $68,802
About 22¢ was paid for every $1 hospitals in Wisconsin billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Wisconsin:
Wisconsin hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Wisconsin hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Orthopaedic Hsptl of WiGlendale | 195 | $74,454 | $13,010 | $10,825 |
| University of Wi Hospitals & Clinics AuthorityMadison | 90 | $69,609 | $20,018 | $15,515 |
| Midwest Orthopedic Specialty Hospital, LLCFranklin | 83 | $52,364 | $13,197 | $10,652 |
| Aurora St Lukes Medical CenterMilwaukee | 42 | $93,710 | $16,346 | $12,973 |
| Appleton Med CtrAppleton | 40 | $40,101 | $14,438 | $11,689 |
| Ascension SE Wisconsin HospitalMilwaukee | 34 | $58,884 | $15,741 | $13,213 |
| Aspirus Wausau HospitalWausau | 33 | $53,526 | $13,527 | $11,857 |
| Luther Hospital Mayo Health SystemEau Claire | 32 | $39,396 | $14,468 | $12,824 |
| Oconomowoc Mem HsptlOconomowoc | 29 | $73,271 | $12,643 | $11,292 |
| St Mary's HospitalMadison | 29 | $59,690 | $14,316 | $12,669 |
| Marshfield Medical CenterMarshfield | 28 | $61,255 | $16,579 | $14,722 |
| Community Mem HsptlMenomonee Falls | 25 | $83,461 | $14,207 | $12,514 |
| Oakleaf Surgical HospitalEau Claire | 23 | $48,531 | $12,446 | $10,885 |
| Froedtert Mem Lutheran HsptlMilwaukee | 20 | $136,288 | $25,382 | $13,921 |
| Aurora Medical CenterGrafton | 20 | $95,081 | $13,880 | $10,882 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 17 | $69,132 | $16,496 | $13,339 |
| Aurora West Allis Medical CenterWest Allis | 15 | $98,416 | $14,780 | $11,282 |
| Froedtert SouthKenosha | 12 | $87,993 | $15,926 | $11,776 |
| St Clare's Hospital of Weston INCWeston | 12 | $57,740 | $12,805 | $11,309 |
| St Josephs Com Hsptl West BendWest Bend | 11 | $77,587 | $12,488 | $11,004 |
Lowest and highest payments in Wisconsin
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Oakleaf Surgical HospitalEau Claire, WI | $12,446 |
|---|---|
| St Josephs Com Hsptl West BendWest Bend, WI | $12,488 |
| Oconomowoc Mem HsptlOconomowoc, WI | $12,643 |
| St Clare's Hospital of Weston INCWeston, WI | $12,805 |
| Orthopaedic Hsptl of WiGlendale, WI | $13,010 |
Highest
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $25,382 |
|---|---|
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $20,018 |
| Marshfield Medical CenterMarshfield, WI | $16,579 |
| Wheaton Franciscan Healthcare- All SaintsRacine, WI | $16,496 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $16,346 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Wisconsin?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 20 hospitals in Wisconsin was billed at $68,802 on average, while the average total payment was $14,936, of which Medicare paid $12,171. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Wisconsin, average charges were 4.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.