CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,232
about 2.2× the $14,044 Medicare rate · typically $15,894–$37,070
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,812
Above the fair price
about $7,580 over the fair price · 2.7× Medicare
Medicare pays $14,044 Fair price $30,232 This hospital $37,812

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 $37,812

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 $30,232 (about 2.2× the $14,044 Medicare rate). Froedtert Memorial Lutheran Hospital charges insurers about $37,812 — above the fair price. Located in Milwaukee, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $30,232. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $19,629 - $63,982 140%
Blue Cross Blue Shieldmajor $19,629 - $71,765 140%
Aetnamajor $20,022 143%
Cignamajor $49,692 354%
Humanamajor $19,629 140%
Health Net $46,396 330%
HealthPartners $19,629 - $39,415 140%
Molina $19,629 140%
Priority Health $19,629 140%
Quartz $19,629 140%
Security Health Plan $19,629 140%
WellCare $20,022 143%
+ 10 smaller / regional plans $19,629 - $53,120

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 9200 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals