Price AtlasInteractive atlas · All states · techysurgeon.comMunson Healthcare Otsego Memorial Hospital: what a joint replacement costs
Gaylord, MI 49735 · CMS Certification Number 230133. 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.
Medicare prices at Munson Healthcare Otsego Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,021 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,558 | — | $17,921–$30,466 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Employee Benefit Logistics | $30,466 | — | 1 |
| Cigna | $21,558 | — | 1 |
| Priority Health | $21,558 | — | 1 |
| Michigan Amish Medical Board | $17,921 | — | 1 |
| Northern Michigan Mennonite Group | $17,921 | — | 1 |
From the hospital's price-transparency file (2026-04-17); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-17); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 53 beds
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Questions
How much does Medicare pay Munson Healthcare Otsego Memorial Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $12,021 per outpatient hip or knee replacement case (APC 5115, 44 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Munson Healthcare Otsego Memorial Hospital?
Yes for Medicare facility payments. Northern Michigan Surgical Suites, LLC, an orthopedic surgery center 22.2 mi away, is paid about $8,278 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Munson Healthcare Otsego Memorial 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 $21,558 across 5 insurers, ranging from $17,921 to $30,466.