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Trinity Health Oakland Hospital: what a joint replacement costs

Pontiac, MI 48341 · CMS Certification Number 230029. 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
Bloomfield Hills Surgical Center , 3.2 mi
Outpatient here
$11,674
249 Medicare cases, APC 5115
Inpatient here
$16,077
20 Medicare stays, MS-DRG 470

Medicare prices at Trinity Health Oakland Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,077$64,1284.0×$11,674
Shoulder replacement$21,193$74,1003.5×$16,575
Hip replacement after a fracture (DRG 522)$18,612$89,1124.8×—

Quality

Complications after hip or knee replacement: 6.7% (no different from the national rate). Readmissions: 7.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 395 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Trinity Health Oakland Hospital for a knee or hip replacement?

In 2024 Medicare paid Trinity Health Oakland Hospital an average of $16,077 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,674 per outpatient case (APC 5115, 249 cases).

What is Trinity Health Oakland Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,128, 4.0× 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 Trinity Health Oakland Hospital?

Yes for Medicare facility payments. Bloomfield Hills Surgical Center , an orthopedic surgery center 3.2 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $7,477 less than an inpatient stay at Trinity Health Oakland Hospital. Not every patient is a surgery-center candidate.

How does Trinity Health Oakland Hospital compare with other Michigan hospitals?

Medicare paid Trinity Health Oakland Hospital less than 51% of the 37 Michigan hospitals that report inpatient hip or knee replacement.