Muskegon, MI 49441 · CMS Certification Number 230066. 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 | $15,950 | $66,759 | 4.2× | $12,079 |
| Shoulder replacement | $21,412 | $69,188 | 3.2× | $17,180 |
| Hip replacement after a fracture (DRG 522) | $18,170 | $66,970 | 3.7× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 382 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Trinity Health Muskegon Hospital an average of $15,950 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $12,079 per outpatient case (APC 5115, 137 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,759, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Shoreline ASC, Inc., an orthopedic surgery center 4.4 mi away, is paid about $8,528 by Medicare for a knee replacement (CPT 27447), $7,422 less than an inpatient stay at Trinity Health Muskegon Hospital. Not every patient is a surgery-center candidate.
Medicare paid Trinity Health Muskegon Hospital less than 54% of the 37 Michigan hospitals that report inpatient hip or knee replacement.