Knee Replacement Cost in Wisconsin (2026): Average Prices & What You'll Pay
What does a knee replacement cost in Wisconsin?
A typical knee replacement in Wisconsin costs $6,166–$14,908 for a commercially insured patient, including facility and physician fees. The median reported facility price across 89 hospitals is $6,635. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.
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Where knee replacement costs vary in Wisconsin
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.
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- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
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Cheapest Knee Replacement Providers in Wisconsin
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Richland Hospital | Richland Center, WI | $2,116 | -$4,519 |
| 2 | Ascension SE Wisconsin Hospital, Inc. | WI | $2,121 | -$4,514 |
| 3 | Ascension St. Francis Hospital, Inc. | WI | $2,121 | -$4,514 |
| 4 | Wheaton Franciscan Healthcare - Southeast Wisconsin Inc | WI | $2,121 | -$4,514 |
| 5 | Meriter Hospital, Inc | Madison, WI | $2,222 | -$4,413 |
| 6 | Upland Hills Health | Dodgeville, WI | $2,340 | -$4,295 |
| 7 | EDGERTON HOSPITAL AND HEALTH SERVICES | Edgerton, WI | $2,376 | -$4,259 |
| 8 | Fort Memorial Hospital | Fort Atkinson, WI | $2,419 | -$4,216 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Richland Hospital is the lowest-cost option at $2,116 - $4,519 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $6,635, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
How where you go changes what you pay for knee replacement
The same knee replacement bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $24–$19,693
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $24–$20,368
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median. Knee replacement is a high-cost elective procedure where facility selection has an outsized impact on total cost. Hospital outpatient and ambulatory surgery center rates for knee replacement have converged on outcomes but diverged further on price - ASC rates are typically 30–50% below hospital rates for the same implant and surgeon. Medicare Advantage plans increasingly direct patients to designated bundled-payment facilities where your out-of-pocket liability is capped.
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Why prices vary - and what it means for your coverage
A small number of hospitals (3) report prices above $17,177, including ST NICHOLAS HOSPITAL at $20,368, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $6,635 versus $2,222 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$10,667 |
| Deductible met - 20% coinsurance | ~$2,133 |
| Out-of-network provider | $23,467+ |
Frequently asked questions: knee replacement costs in Wisconsin
How much does a knee replacement cost in Wisconsin?
The typical insurer-negotiated rate is $4,142, with most facilities between $746 and $8,456 (based on 80 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $500 to $66,404 across all 89 Wisconsin hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a knee replacement in Wisconsin?
Based on declared prices, the lowest-cost facility in our Wisconsin data is Tamarack Health Ashland Medical Center in Ashland at about $24. By metro, Green Bay has the lowest median ($3,674). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a knee replacement so much cheaper at some Wisconsin hospitals?
Prices vary up to 132.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Wisconsin, the median cash (self-pay) price is $6,635 versus a median negotiated rate of $4,142 - about 1.6× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a knee replacement in Wisconsin?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
Other procedures in Wisconsin
Knee Replacement, elsewhere
- Knee Replacement costs across all states
- Knee Replacement cost in Eau Claire, WI
- Knee Replacement cost in Fond Du Lac, WI
- Knee Replacement cost in Green Bay, WI
- Knee Replacement cost in Janesville, WI
- Knee Replacement cost in Madison, WI
- Knee Replacement cost in Milwaukee, WI
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What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same knee replacement - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A knee replacement involves multiple providers who bill separately - typically ASC Facility Fee, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this knee replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for knee replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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