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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,712 | $41,745 | 2.7× | $10,706 |
| Shoulder replacement | — | — | — | $16,606 |
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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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).
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.
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.
Medicare paid Promedica Monroe Regional Hospital less than 65% of the 37 Michigan hospitals that report inpatient hip or knee replacement.