Grosse Pointe, MI 48230 · CMS Certification Number 230089. 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 | $13,724 | $72,759 | 5.3× | $11,290 |
| Shoulder replacement | — | — | — | $16,361 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,422 | 1.9× | $21,420–$33,784 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Michigan | $33,784 | 2.5× | 1 |
| Aetna | $27,020 | 2.0× | 1 |
| Cigna | $26,422 | 1.9× | 1 |
| Priority Health | $26,422 | 1.9× | 1 |
| Health Alliance Plan | $21,420 | 1.6× | 1 |
From the hospital's price-transparency file (2026-05-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-05-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 311 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Corewell Health Beaumont Grosse Pointe Hospital for an inpatient hip or knee replacement stay was $13,724 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,290 per outpatient case (APC 5115, 109 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,759, 5.3× 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. Michigan Advanced Surgical Center, an orthopedic surgery center 9.7 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $5,124 less than an inpatient stay at Corewell Health Beaumont Grosse Pointe Hospital. Not every patient is a surgery-center candidate.
Corewell Health Beaumont Grosse Pointe Hospital's average total payment per Medicare stay is lower than 89% 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 $26,422 across 5 insurers, ranging from $21,420 to $33,784.