CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,418

about 1.3× the $14,044 Medicare rate · typically $15,895–$26,549

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,981

About the fair price

about $437 under the fair price · 1.3× Medicare

Medicare pays $14,044 Fair price $18,418 This hospital $17,981

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $13,222 Priciest $17,981

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 $18,418 (about 1.3× the $14,044 Medicare rate). Marshfield Medical Center - Beaver Dam (Mmc-Bd) charges insurers about $17,981 — about the fair price. Located in Beaver Dam, 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	$17,207 - $31,520	123%
Blue Cross Blue Shieldmajor	$17,723 - $50,022	126%
Humanamajor	$17,207	123%
Molina	$17,207	123%
Quartz	$17,207 - $24,430	123%
Security Health Plan	$17,207	123%
+ 5 smaller / regional plans	$17,207 - $38,270

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Marshfield Medical Center - Beaver Dam (Mmc-Bd) is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Compare: Hip or knee replacement (inpatient stay) at other WI hospitals

Orthopaedic Hospital of Wisconsin · Glendale $13,222
Thedacare Regional Medical Center - Appleton Inc · Appleton $13,348
Sauk Prairie Hospital · Prairie Du Sac $13,634
Oakleaf Surgical Hospital · Altoona $13,660
The Monroe Clinic · Monroe $13,719
Mile Bluff Medical Center · Mauston $13,872
Ascension Sacred Heart Rehabilitation Hospital · Mequon $15,202
Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $15,215

Insurance negotiated median for the same procedure, sorted lowest first.