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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,077 | $64,128 | 4.0× | $11,674 |
| Shoulder replacement | $21,193 | $74,100 | 3.5× | $16,575 |
| Hip replacement after a fracture (DRG 522) | $18,612 | $89,112 | 4.8× | — |
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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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).
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.
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.
Medicare paid Trinity Health Oakland Hospital less than 51% of the 37 Michigan hospitals that report inpatient hip or knee replacement.