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Up Health System - Marquette: what a joint replacement costs

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.

Surgery center nearby
$8,278
Upper Peninsula Surgery Center, same ZIP
Outpatient here
$12,425
Medicare allowed amount, 44 cases, APC 5115
Inpatient here
$16,931
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Up Health System - Marquette

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,931$114,8846.8×$12,425
Shoulder replacement$22,574$131,0605.8×—
Hip replacement after a fracture (DRG 522)$18,781$122,7616.5×—

Quality

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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Questions

How much does Medicare pay Up Health System - Marquette for a knee or hip replacement?

In 2024 the average total payment to Up Health System - Marquette for an inpatient hip or knee replacement stay was $16,931 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,425 per outpatient case (APC 5115, 44 cases).

What is Up Health System - Marquette's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,884, 6.8× 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 Up Health System - Marquette?

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.

How does Up Health System - Marquette compare with other Michigan hospitals?

Up Health System - Marquette's average total payment per Medicare stay is higher than 76% of the 37 Michigan hospitals that report inpatient hip or knee replacement.