Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

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
Medicare allowed amount, 249 cases, APC 5115
Inpatient here
$16,077
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Trinity Health Oakland Hospital

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

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,0832.3×$17,167–$37,08324
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS (other)$37,0832.3×1
BCBS AZ$37,0832.3×1
BCBS MN$37,0832.3×1
BCBS Michigan$37,0832.3×1
BCBS NC$37,0832.3×1
BCBS TN$37,0832.3×1
Bcn Domestic$37,0832.3×1
CareFirst BCBS$37,0832.3×1
Elevance/Anthem/Empire$37,0832.3×1
Excellus BCBS$37,0832.3×1
Highmark BCBS$37,0832.3×1
Horizon BCBS NJ$37,0832.3×1
Independence Blue Cross$37,0832.3×1
Kaiser Permanente$37,0832.3×1
Premera Blue Cross$37,0832.3×1
Regence BlueShield$37,0832.3×1
Wellmark BCBS$37,0832.3×1
Asr Health Benefits$31,5632.0×1
HAP$31,5632.0×1
Varipro$31,5632.0×1
Priority Health$29,8101.9×1
Aetna$28,7681.8×1
U Of M Health Plan$27,1591.7×1
Employee Benefit Logistic$17,1671.1×1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

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.

Open the interactive price tagBuild a reportAll Michigan hospitals

Questions

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

In 2024 the average total payment to Trinity Health Oakland Hospital for an inpatient hip or knee replacement stay was $16,077 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?

Trinity Health Oakland Hospital's average total payment per Medicare stay is lower than 51% of the 37 Michigan hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Trinity Health Oakland 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 $37,083 across 24 insurers, ranging from $17,167 to $37,083.