Revision of Hip or Knee Replacement Without Cc/Mcc in Wisconsin
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$78,369typical hospital bill
$19,905typical amount paid
$18,829–$26,157range paid across 3 hospitals
Wisconsin hospitals billed Medicare a typical $78,369 for this stay in 2024, about 3.9 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Oakleaf Surgical Hospital | Altoona | 17 | $72,639 | $18,829 | |
| Oconomowoc Memorial Hospital | Oconomowoc | 16 | $118,877 | $19,905 | |
| University of Wi Hospitals & Clinics Authority | Madison | 15 | $78,369 | $26,157 |
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.