CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Ascension Columbia St Marys Hospital Milwaukee

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,378
about 1.8× the $14,044 Medicare rate · typically $15,390–$39,247
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,215
Below the fair price — a good deal
about $10,163 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $25,378 This hospital $15,215

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 7 of 8 other WI hospitals charge less.

Cheapest $13,222 Priciest $15,279

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $25,378 (about 1.8× the $14,044 Medicare rate). Ascension Columbia St Marys Hospital Milwaukee charges insurers about $15,215 — below the fair price — a good deal. Located in Milwaukee, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $16,883 120%
Blue Cross Blue Shieldmajor $10,022 - $21,788 71%
Humanamajor $14,513 - $18,957 103%
Molina $31,847 227%
+ 8 smaller / regional plans $11,771 - $17,737
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 2323 N Lake Dr, Milwaukee, WI 53211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals