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Inpatient stay · MS-DRG 470 · Surgery or procedure

Major hip and knee joint replacement or reattachment of lower extremity without MCC

In 2024, Medicare and patients paid an average of $17,318 per stay at 1,212 hospitals. Half of hospitals averaged between $13,991 and $18,392.

Also known as: Hip replacement, knee replacement, joint replacement, arthroplasty

National figures, 2024

Average payment per case
$17,318
Typical range (middle half of hospitals)
$13,991–$18,392
Medicare’s share
$14,28983% of the payment
Average billed charge
$92,976
Hospitals reporting
1,21259,121 stays

Hospitals in Wisconsin

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Wisconsin
Specific hospitals up to 10
Average payment across these 20 hospitals
$14,936National $17,318 · Wisconsin $14,936
Median hospital
$14,377
Lowest to highest
$12,446–$25,382
Medicare stays
790

20 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Major hip and knee joint replacement or reattachment of lower extremity without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Oakleaf Surgical HospitalAltoona, WI · CCN 52019623$12,44628% below the national average$10,885$48,531
St Josephs Community Hospital West BendWest Bend, WI · CCN 52006311$12,48828% below the national average$11,004$77,587
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 52006229$12,64327% below the national average$11,292$73,271
Marshfield Medical Center - WestonWeston, WI · CCN 52020212$12,80526% below the national average$11,309$57,740
Orthopaedic Hospital Of WisconsinGlendale, WI · CCN 520194195$13,01025% below the national average$10,825$74,454
Midwest Orthopedic Specialty HospitalFranklin, WI · CCN 52020583$13,19724% below the national average$10,652$52,364
Aspirus Wausau HospitalWausau, WI · CCN 52003033$13,52722% below the national average$11,857$53,526
Aurora Medical CenterGrafton, WI · CCN 52020720$13,88020% below the national average$10,882$95,081
Community Memorial HospitalMenomonee Falls, WI · CCN 52010325$14,20718% below the national average$12,514$83,461
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 52008329$14,31617% below the national average$12,669$59,690
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 52016040$14,43817% below the national average$11,689$40,101
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 52007032$14,46816% below the national average$12,824$39,396
West Allis Memorial HospitalWest Allis, WI · CCN 52013915$14,78015% below the national average$11,282$98,416
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 52013634$15,741About average$13,213$58,884
Froedtert South Inc.Kenosha, WI · CCN 52002112$15,926About average$11,776$87,993
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 52013842$16,346About average$12,973$93,710
Ascension All Saints HospitalRacine, WI · CCN 52009617$16,496About average$13,339$69,132
Marshfield Medical CenterMarshfield, WI · CCN 52003728$16,579About average$14,722$61,255
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 52009890$20,01816% above the national average$15,515$69,609
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 52017720$25,38247% above the national average$13,921$136,288

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 203,480 stays at 2,306 hospitals · 2021: 110,827 stays at 1,533 hospitals · 2022: 84,253 stays at 1,371 hospitals · 2023: 71,939 stays at 1,311 hospitals · 2024: 59,121 stays at 1,212 hospitals
View data as a table
National average payment and billed charge for Major hip and knee joint replacement or reattachment of lower extremity without MCC
Year of careAverage paymentAverage billed charge
2020$16K$70K
2021$16K$74K
2022$16K$80K
2023$17K$86K
2024$17K$93K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states
Average payment by state for Major hip and knee joint replacement or reattachment of lower extremity without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont361$11,943$7,968–$14,471
Arkansas10294$12,966$12,954–$14,313
Louisiana10312$13,104$12,374–$14,606
Mississippi14609$13,519$12,760–$14,145
South Dakota9678$13,721$13,146–$16,236
Iowa15601$13,831$12,942–$13,900
Kansas211,857$13,938$13,440–$15,106
Kentucky14448$14,059$13,325–$14,999
Ohio421,724$14,132$12,682–$16,083
South Carolina19559$14,217$13,147–$15,593
Oklahoma26987$14,253$13,006–$14,911
Montana6221$14,308$13,450–$14,347
Missouri321,013$14,460$13,415–$16,112
Indiana341,382$14,468$14,000–$15,548
Tennessee291,269$14,539$13,051–$14,839
Alabama241,069$14,555$13,099–$14,915
Nebraska11311$14,687$13,061–$15,452
Texas773,658$14,714$13,671–$16,472
Wisconsin20790$14,936$13,150–$16,031
Idaho7158$15,223$14,656–$15,780
West Virginia10391$15,365$13,520–$14,636
Arizona291,348$15,381$13,993–$16,068
Pennsylvania643,540$15,447$13,455–$16,451
Florida883,655$15,466$13,758–$16,947
North Dakota366$15,534$14,826–$15,848
North Carolina412,173$15,559$13,556–$16,364
Virginia341,195$15,613$13,882–$15,834
Colorado17525$15,835$14,730–$18,641
New Hampshire8279$16,134$14,902–$18,577
Michigan371,129$16,186$15,495–$16,931
Illinois452,287$16,408$14,382–$17,105
Georgia27596$16,511$14,885–$17,557
Minnesota20875$16,573$14,734–$16,840
Rhode Island3230$16,805$14,916–$16,300
Delaware177$16,994$16,994–$16,994
Utah14490$17,031$14,140–$16,633
New Jersey261,178$17,455$15,951–$18,339
Washington26847$17,692$16,007–$18,066
Massachusetts393,696$17,888$15,963–$20,454
Maine365$18,052$16,627–$18,917
New Mexico6220$18,266$13,293–$16,866
Nevada9301$18,716$17,683–$19,302
Oregon13389$18,925$17,407–$20,120
Connecticut12655$19,326$17,542–$19,617
District of Columbia4132$19,492$19,677–$22,676
Hawaii2114$20,777$20,229–$21,135
California1196,875$21,622$18,851–$21,981
Alaska3245$22,368$21,985–$28,516
Wyoming5119$22,397$20,799–$24,183
New York566,517$23,235$17,402–$23,354
Maryland25911$25,079$24,194–$31,274

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.