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Munson 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.

Surgery center nearby
$8,278
Northern Michigan Surgical Suites, LLC, 22.2 mi
Outpatient here
$12,021
44 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Munson Healthcare Otsego Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,021
Shoulder replacement————

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 53 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Munson Healthcare Otsego Memorial Hospital for a knee or hip replacement?

Medicare allowed an average of $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.