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Ascension Borgess Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,518
Endoscopy and Surgery Center at Woodbridge Hills, 7.9 mi
Outpatient here
$11,206
Medicare allowed amount, 120 cases, APC 5115
Inpatient here
$17,508
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Ascension Borgess Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,508$68,3083.9×$11,206
Shoulder replacement———$15,123
Hip replacement after a fracture (DRG 522)$17,166$76,8214.5×—

Quality

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.

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Questions

How much does Medicare pay Ascension Borgess Hospital for a knee or hip replacement?

In 2024 the average total payment to Ascension Borgess Hospital for an inpatient hip or knee replacement stay was $17,508 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,206 per outpatient case (APC 5115, 120 cases).

What is Ascension Borgess Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,308, 3.9× 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 Ascension Borgess Hospital?

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.

How does Ascension Borgess Hospital compare with other Michigan hospitals?

Ascension Borgess Hospital's average total payment per Medicare stay is higher than 89% of the 37 Michigan hospitals that report inpatient hip or knee replacement.