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Harper University Hospital: what a joint replacement costs

Detroit, MI 48201 · CMS Certification Number 230104. 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
$8,525
Advanced Surgery Center, 6.6 mi
Outpatient here
$11,458
Medicare allowed amount, 72 cases, APC 5115
Inpatient here
$21,882
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Harper University Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,882$117,4215.4×$11,458
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,7141.8×$32,993–$44,4362
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$44,4362.0×1
UnitedHealthcare$32,9931.5×1

From the hospital's price-transparency file (2026-09-02); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-02); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 712 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Harper University Hospital for a knee or hip replacement?

In 2024 the average total payment to Harper University Hospital for an inpatient hip or knee replacement stay was $21,882 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,458 per outpatient case (APC 5115, 72 cases).

What is Harper University Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,421, 5.4× 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 Harper University Hospital?

Yes for Medicare facility payments. Advanced Surgery Center, an orthopedic surgery center 6.6 mi away, is paid about $8,525 by Medicare for a knee replacement (CPT 27447), $13,357 less than an inpatient stay at Harper University Hospital. Not every patient is a surgery-center candidate.

How does Harper University Hospital compare with other Michigan hospitals?

Harper University Hospital's average total payment per Medicare stay is higher than 97% of the 37 Michigan hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Harper University Hospital 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 $38,714 across 2 insurers, ranging from $32,993 to $44,436.