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Covenant Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,581
Matrix Surgery Center , 3.8 mi
Outpatient here
$11,301
167 Medicare cases, APC 5115
Inpatient here
$14,114
22 Medicare stays, MS-DRG 470

Medicare prices at Covenant Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,114$54,3103.8×$11,301
Shoulder replacement$18,872$50,5642.7×$15,939
Hip replacement after a fracture (DRG 522)$15,923$54,5333.4×—

Quality

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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Questions

How much does Medicare pay Covenant Medical Center for a knee or hip replacement?

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).

What is Covenant Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Covenant Medical Center?

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.

How does Covenant Medical Center compare with other Michigan hospitals?

Medicare paid Covenant Medical Center less than 86% of the 37 Michigan hospitals that report inpatient hip or knee replacement.