Traverse City, MI 49684 · CMS Certification Number 230097. 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 | $16,226 | $40,783 | 2.5× | $12,216 |
| Shoulder replacement | $21,792 | $56,764 | 2.6× | $17,104 |
| Hip replacement after a fracture (DRG 522) | $18,146 | $43,724 | 2.4× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 377 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Munson Medical Center an average of $16,226 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $12,216 per outpatient case (APC 5115, 230 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,783, 2.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Copper Ridge Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,278 by Medicare for a knee replacement (CPT 27447), $7,948 less than an inpatient stay at Munson Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Munson Medical Center more than 59% of the 37 Michigan hospitals that report inpatient hip or knee replacement.