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McLaren Bay Region: what a joint replacement costs

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.

Surgery center nearby
$8,581
Towne Centre Surgery Center, LLC, 7.2 mi
Outpatient here
$11,626
Medicare allowed amount, 114 cases, APC 5115
Inpatient here
$12,711
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at McLaren Bay Region

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,711$66,6825.2×$11,626
Shoulder replacement———$16,575
Hip replacement after a fracture (DRG 522)$14,140$65,7744.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,8121.7×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$21,8121.7×1

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.

Quality

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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Questions

How much does Medicare pay McLaren Bay Region for a knee or hip replacement?

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).

What is McLaren Bay Region's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near McLaren Bay Region?

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.

How does McLaren Bay Region compare with other Michigan hospitals?

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.

What do commercial insurers pay McLaren Bay Region 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 $21,812 across 1 insurer.