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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,558 | 1.3× | $17,759–$30,190 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Employee Benefits Logistics | $30,190 | 1.9× | 1 |
| Nomi Health | $27,969 | 1.7× | 1 |
| BCBS Michigan | $27,308 | 1.7× | 1 |
| Occunet/First Agency | $26,639 | 1.6× | 1 |
| Cigna | $21,558 | 1.3× | 1 |
| Priority Health | $21,558 | 1.3× | 1 |
| Michigan Amish Medical Board | $17,759 | 1.1× | 1 |
| Northern Michigan Mennonite Group | $17,759 | 1.1× | 1 |
| University Kansas Hospital | $17,759 | 1.1× | 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.
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 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).
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.
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.
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.
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.