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Henry Ford Health -St John Hospital: what a joint replacement costs

Detroit, MI 48236 · CMS Certification Number 230165. 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
$8,600
Michigan Advanced Surgical Center, 7.9 mi
Outpatient here
$11,737
Medicare allowed amount, 78 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Henry Ford Health -St John Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,737
Shoulder replacement———$15,454
Hip replacement after a fracture (DRG 522)$18,595$64,9803.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,596—$8,400–$25,5197
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Priority HMO$25,519—1
Priority PPO$25,519—1
Smarthealth$20,901—1
Ppom$20,596—1
UnitedHealthcare$10,828—1
Aetna$9,410—1
MultiPlan/PHCS (rental network)$9,410—1
Humana$8,400—1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 625 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Henry Ford Health -St John Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,737 per outpatient hip or knee replacement case (APC 5115, 78 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Henry Ford Health -St John Hospital?

Yes for Medicare facility payments. Michigan Advanced Surgical Center, an orthopedic surgery center 7.9 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Henry Ford Health -St John 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 $20,596 across 7 insurers, ranging from $8,400 to $25,519.