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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,882 | $117,421 | 5.4× | $11,458 |
| Shoulder replacement | — | — | — | — |
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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In 2024 Medicare paid Harper University Hospital an average of $21,882 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,458 per outpatient case (APC 5115, 72 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,421, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Harper University Hospital more than 97% of the 37 Michigan hospitals that report inpatient hip or knee replacement.