Kalamazoo, MI 49048 · CMS Certification Number 230117. 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 | $17,508 | $68,308 | 3.9× | $11,206 |
| Shoulder replacement | — | — | — | $15,123 |
| Hip replacement after a fracture (DRG 522) | $17,166 | $76,821 | 4.5× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 372 beds
Michigan requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Michigan hospitals
In 2024 Medicare paid Ascension Borgess Hospital an average of $17,508 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,206 per outpatient case (APC 5115, 120 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,308, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Endoscopy and Surgery Center at Woodbridge Hills, an orthopedic surgery center 7.9 mi away, is paid about $8,518 by Medicare for a knee replacement (CPT 27447), $8,990 less than an inpatient stay at Ascension Borgess Hospital. Not every patient is a surgery-center candidate.
Medicare paid Ascension Borgess Hospital more than 89% of the 37 Michigan hospitals that report inpatient hip or knee replacement.