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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,824 | $53,720 | 3.4× | $11,651 |
| Shoulder replacement | $21,915 | $58,242 | 2.7× | $16,606 |
| Hip replacement after a fracture (DRG 522) | $18,066 | $65,734 | 3.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,294 | 1.5× | $10,828–$35,759 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Michigan | $35,759 | 2.3× | 1 |
| UnitedHealthcare | $10,828 | 0.7× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
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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In 2024 the average total payment to Ascension Providence Hospital for an inpatient hip or knee replacement stay was $15,824 (MS-DRG 470, 50 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,651 per outpatient case (APC 5115, 351 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,720, 3.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Ascension Providence Hospital's average total payment per Medicare stay is lower than 57% of the 37 Michigan hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,294 across 2 insurers, ranging from $10,828 to $35,759.