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Promedica Monroe Regional Hospital: what a joint replacement costs

Monroe, MI 48162 · CMS Certification Number 230099. 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
$8,421
The Surgical Institute of Monroe ASC, 4.3 mi
Outpatient here
$10,706
49 Medicare cases, APC 5115
Inpatient here
$15,712
12 Medicare stays, MS-DRG 470

Medicare prices at Promedica Monroe Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,712$41,7452.7×$10,706
Shoulder replacement———$16,606

Quality

Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 217 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Promedica Monroe Regional Hospital for a knee or hip replacement?

In 2024 Medicare paid Promedica Monroe Regional Hospital an average of $15,712 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $10,706 per outpatient case (APC 5115, 49 cases).

What is Promedica Monroe Regional Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,745, 2.7× what Medicare paid. 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 Promedica Monroe Regional Hospital?

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.

How does Promedica Monroe Regional Hospital compare with other Michigan hospitals?

Medicare paid Promedica Monroe Regional Hospital less than 65% of the 37 Michigan hospitals that report inpatient hip or knee replacement.