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Ascension Providence Hospital: what a joint replacement costs

Southfield, MI 48075 · CMS Certification Number 230019. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,600
Specialty Surgical Center, 2.4 mi
Outpatient here
$11,651
351 Medicare cases, APC 5115
Inpatient here
$15,824
50 Medicare stays, MS-DRG 470

Medicare prices at Ascension Providence Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,824$53,7203.4×$11,651
Shoulder replacement$21,915$58,2422.7×$16,606
Hip replacement after a fracture (DRG 522)$18,066$65,7343.6×—

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 434 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Ascension Providence Hospital for a knee or hip replacement?

In 2024 Medicare paid Ascension Providence Hospital an average of $15,824 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $11,651 per outpatient case (APC 5115, 351 cases).

What is Ascension Providence Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,720, 3.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Ascension Providence Hospital?

Yes for Medicare facility payments. Specialty Surgical Center, an orthopedic surgery center 2.4 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $7,224 less than an inpatient stay at Ascension Providence Hospital. Not every patient is a surgery-center candidate.

How does Ascension Providence Hospital compare with other Michigan hospitals?

Medicare paid Ascension Providence Hospital less than 57% of the 37 Michigan hospitals that report inpatient hip or knee replacement.