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Trinity Health Grand Rapids Hospital: what a joint replacement costs

Grand Rapids, MI 49503 · CMS Certification Number 230059. 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
$8,509
Oam Surgery Center at Midtowne, LLC, same ZIP
Outpatient here
$11,155
Medicare allowed amount, 52 cases, APC 5115
Inpatient here
$16,218
Avg total payment (incl. patient share), 22 Medicare stays, MS-DRG 470

Medicare prices at Trinity Health Grand Rapids Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,218$47,9793.0×$11,155
Shoulder replacement———$14,935

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$42,1652.6×$10,913–$42,16523
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS (other)$42,1652.6×1
BCBS AZ$42,1652.6×1
BCBS MN$42,1652.6×1
BCBS Michigan$42,1652.6×1
BCBS NC$42,1652.6×1
BCBS TN$42,1652.6×1
Bcn Domestic$42,1652.6×1
CareFirst BCBS$42,1652.6×1
Elevance/Anthem/Empire$42,1652.6×1
Excellus BCBS$42,1652.6×1
Highmark BCBS$42,1652.6×1
Horizon BCBS NJ$42,1652.6×1
Independence Blue Cross$42,1652.6×1
Kaiser Permanente$42,1652.6×1
Premera Blue Cross$42,1652.6×1
Regence BlueShield$42,1652.6×1
Wellmark BCBS$42,1652.6×1
Aetna$31,7842.0×1
Priority Health$30,1531.9×1
U Of M Health Plan$27,0571.7×1
HAP$21,9161.4×1
Oscar$17,8251.1×1
Access Health$10,9130.7×1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 230 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Trinity Health Grand Rapids Hospital for a knee or hip replacement?

In 2024 the average total payment to Trinity Health Grand Rapids Hospital for an inpatient hip or knee replacement stay was $16,218 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,155 per outpatient case (APC 5115, 52 cases).

What is Trinity Health Grand Rapids Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,979, 3.0× 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 Trinity Health Grand Rapids Hospital?

Yes for Medicare facility payments. Oam Surgery Center at Midtowne, LLC, an orthopedic surgery center same ZIP away, is paid about $8,509 by Medicare for a knee replacement (CPT 27447), $7,709 less than an inpatient stay at Trinity Health Grand Rapids Hospital. Not every patient is a surgery-center candidate.

How does Trinity Health Grand Rapids Hospital compare with other Michigan hospitals?

Trinity Health Grand Rapids Hospital's average total payment per Medicare stay is higher than 57% of the 37 Michigan hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Trinity Health Grand Rapids 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 $42,165 across 23 insurers, ranging from $10,913 to $42,165.