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Holland Community Hospital: what a joint replacement costs

Holland, MI 49423 · CMS Certification Number 230072. 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
West Michigan Surgical Center, 8.9 mi
Outpatient here
$11,351
Medicare allowed amount, 195 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Holland Community Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,351
Shoulder replacement———$15,230

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$25,534—$12,887–$37,04412
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$37,044—1
Asr - All Plans$31,206—1
Health Alliance Ahl - All Other Plans$31,206—1
Health Alliance HMO$29,849—1
Sisco Epi$27,535—1
Sisco-All Other Plans$27,535—1
Nomi Health - All Plans$23,533—1
UnitedHealthcare$22,954—1
Priority Health - All Other Plans$20,154—1
Cigna$16,684—1
Longevity Health Plan-All Plans$15,465—1
Life Circles-All Plans$12,887—1

From the hospital's price-transparency file (2026-09-21); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-21); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 193 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Holland Community Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,351 per outpatient hip or knee replacement case (APC 5115, 195 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Holland Community Hospital?

Yes for Medicare facility payments. West Michigan Surgical Center, an orthopedic surgery center 8.9 mi away, is paid about $8,509 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Holland Community 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 $25,534 across 12 insurers, ranging from $12,887 to $37,044.