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Munson Healthcare Grayling Hospital: what a joint replacement costs

Grayling, MI 49738 · CMS Certification Number 230058. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,036
Medicare allowed amount, 47 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Munson Healthcare Grayling Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,036
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,046—$16,535–$33,9468
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$33,946—1
Employee Benefits Logistics$28,110—1
Cigna$21,558—1
Priority Health$21,558—1
Atrium King Centre Skilled Nursing Services$16,535—1
Michigan Amish Medical Board$16,535—1
Northern Michigan Mennonite Group$16,535—1
Wellspring Lutheran Services Skilling Nursing Services$16,535—1

From the hospital's price-transparency file (2026-04-17); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-17); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 90 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Munson Healthcare Grayling Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $12,036 per outpatient hip or knee replacement case (APC 5115, 47 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Munson Healthcare Grayling 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 $19,046 across 8 insurers, ranging from $16,535 to $33,946.