Hip or knee replacement in Wisconsin
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$69,370typical hospital bill
$14,377typical amount paid
$12,446–$25,382range paid across 20 hospitals
Wisconsin hospitals billed Medicare a typical $69,370 for this stay in 2024, about 4.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.