Price AtlasInteractive atlas · All states · techysurgeon.comHenry Ford Health Macomb Hospital: what a joint replacement costs
Clinton Township, MI 48038 · CMS Certification Number 230047. 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.
Medicare prices at Henry Ford Health Macomb Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,273 |
| Shoulder replacement | — | — | — | $15,975 |
| Hip replacement after a fracture (DRG 522) | $17,451 | $63,952 | 3.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,472 | — | $18,753–$33,562 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Michigan | $33,562 | — | 1 |
| Bcn | $33,562 | — | 1 |
| Nomi | $27,118 | — | 1 |
| Priority Health | $26,593 | — | 1 |
| Vitalcore | $26,350 | — | 1 |
| Aetna | $25,566 | — | 1 |
| UnitedHealthcare | $24,148 | — | 1 |
| Cofinity (rental network) | $20,024 | — | 1 |
| HAP | $18,753 | — | 1 |
From the hospital's price-transparency file (2026-06-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-28); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 361 beds
Michigan requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Henry Ford Health Macomb Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,273 per outpatient hip or knee replacement case (APC 5115, 319 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Henry Ford Health Macomb Hospital?
Yes for Medicare facility payments. Premier Surgical Center of Michigan, an orthopedic surgery center same ZIP away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Henry Ford Health Macomb 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 $26,472 across 8 insurers, ranging from $18,753 to $33,562.