Bay City, MI 48708 · CMS Certification Number 230041. 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 | $12,711 | $66,682 | 5.2× | $11,626 |
| Shoulder replacement | — | — | — | $16,575 |
| Hip replacement after a fracture (DRG 522) | $14,140 | $65,774 | 4.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,812 | 1.7× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Michigan | $21,812 | 1.7× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 387 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 the average total payment to McLaren Bay Region for an inpatient hip or knee replacement stay was $12,711 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,626 per outpatient case (APC 5115, 114 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,682, 5.2× 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. Towne Centre Surgery Center, LLC, an orthopedic surgery center 7.2 mi away, is paid about $8,581 by Medicare for a knee replacement (CPT 27447), $4,130 less than an inpatient stay at McLaren Bay Region. Not every patient is a surgery-center candidate.
McLaren Bay Region's average total payment per Medicare stay is lower than 97% 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 $21,812 across 1 insurer.