Saginaw, MI 48602 · CMS Certification Number 230070. 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 | $14,114 | $54,310 | 3.8× | $11,301 |
| Shoulder replacement | $18,872 | $50,564 | 2.7× | $15,939 |
| Hip replacement after a fracture (DRG 522) | $15,923 | $54,533 | 3.4× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 623 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Covenant Medical Center an average of $14,114 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,301 per outpatient case (APC 5115, 167 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,310, 3.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Matrix Surgery Center , an orthopedic surgery center 3.8 mi away, is paid about $8,581 by Medicare for a knee replacement (CPT 27447), $5,533 less than an inpatient stay at Covenant Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Covenant Medical Center less than 86% of the 37 Michigan hospitals that report inpatient hip or knee replacement.