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Munson Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,278
Copper Ridge Surgery Center, same ZIP
Outpatient here
$12,216
Medicare allowed amount, 230 cases, APC 5115
Inpatient here
$16,226
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Munson Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,226$40,7832.5×$12,216
Shoulder replacement$21,792$56,7642.6×$17,104
Hip replacement after a fracture (DRG 522)$18,146$43,7242.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,5581.3×$17,759–$30,1909
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Employee Benefits Logistics$30,1901.9×1
Nomi Health$27,9691.7×1
BCBS Michigan$27,3081.7×1
Occunet/First Agency$26,6391.6×1
Cigna$21,5581.3×1
Priority Health$21,5581.3×1
Michigan Amish Medical Board$17,7591.1×1
Northern Michigan Mennonite Group$17,7591.1×1
University Kansas Hospital$17,7591.1×1

From the hospital's price-transparency file (2026-04-17); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-17); commercial plans, dollar-amount contracts only.

Quality

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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Questions

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

In 2024 the average total payment to Munson Medical Center for an inpatient hip or knee replacement stay was $16,226 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,216 per outpatient case (APC 5115, 230 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,783, 2.5× the average total payment for a Medicare stay. 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 Munson Medical Center?

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.

How does Munson Medical Center compare with other Michigan hospitals?

Munson Medical Center's average total payment per Medicare stay is higher than 59% of the 37 Michigan hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Munson Medical Center 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 $21,558 across 9 insurers, ranging from $17,759 to $30,190.