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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,218 | $47,979 | 3.0× | $11,155 |
| Shoulder replacement | — | — | — | $14,935 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,165 | 2.6× | $10,913–$42,165 | 23 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $42,165 | 2.6× | 1 |
| BCBS AZ | $42,165 | 2.6× | 1 |
| BCBS MN | $42,165 | 2.6× | 1 |
| BCBS Michigan | $42,165 | 2.6× | 1 |
| BCBS NC | $42,165 | 2.6× | 1 |
| BCBS TN | $42,165 | 2.6× | 1 |
| Bcn Domestic | $42,165 | 2.6× | 1 |
| CareFirst BCBS | $42,165 | 2.6× | 1 |
| Elevance/Anthem/Empire | $42,165 | 2.6× | 1 |
| Excellus BCBS | $42,165 | 2.6× | 1 |
| Highmark BCBS | $42,165 | 2.6× | 1 |
| Horizon BCBS NJ | $42,165 | 2.6× | 1 |
| Independence Blue Cross | $42,165 | 2.6× | 1 |
| Kaiser Permanente | $42,165 | 2.6× | 1 |
| Premera Blue Cross | $42,165 | 2.6× | 1 |
| Regence BlueShield | $42,165 | 2.6× | 1 |
| Wellmark BCBS | $42,165 | 2.6× | 1 |
| Aetna | $31,784 | 2.0× | 1 |
| Priority Health | $30,153 | 1.9× | 1 |
| U Of M Health Plan | $27,057 | 1.7× | 1 |
| HAP | $21,916 | 1.4× | 1 |
| Oscar | $17,825 | 1.1× | 1 |
| Access Health | $10,913 | 0.7× | 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.
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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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).
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.
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.
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.
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.