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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
Medicare allowed amount, 351 cases, APC 5115
Inpatient here
$15,824
Avg total payment (incl. patient share), 50 Medicare stays, MS-DRG 470

Medicare prices at Ascension Providence Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,2941.5×$10,828–$35,7592
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$35,7592.3×1
UnitedHealthcare$10,8280.7×1

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.

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 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).

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× the average total payment for a Medicare stay. 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?

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.

What do commercial insurers pay Ascension Providence Hospital for a 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.