Promedica Monroe Regional Hospital: what a joint replacement costs

In 2024 the average total payment to Promedica Monroe Regional Hospital for an inpatient hip or knee replacement stay was $15,712 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,706 per outpatient case (APC 5115, 49 cases).

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,745, 2.7× 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. The Surgical Institute of Monroe ASC, an orthopedic surgery center 4.3 mi away, is paid about $8,421 by Medicare for a knee replacement (CPT 27447), $7,291 less than an inpatient stay at Promedica Monroe Regional Hospital. Not every patient is a surgery-center candidate.

Promedica Monroe Regional Hospital's average total payment per Medicare stay is lower than 65% of the 37 Michigan hospitals that report inpatient hip or knee replacement.