Marquette, MI 49855 · CMS Certification Number 230054. 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 | $16,931 | $114,884 | 6.8× | $12,425 |
| Shoulder replacement | $22,574 | $131,060 | 5.8× | — |
| Hip replacement after a fracture (DRG 522) | $18,781 | $122,761 | 6.5× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 289 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Up Health System - Marquette an average of $16,931 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,425 per outpatient case (APC 5115, 44 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,884, 6.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Upper Peninsula Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,278 by Medicare for a knee replacement (CPT 27447), $8,653 less than an inpatient stay at Up Health System - Marquette. Not every patient is a surgery-center candidate.
Medicare paid Up Health System - Marquette more than 76% of the 37 Michigan hospitals that report inpatient hip or knee replacement.