Price AtlasInteractive atlas · All states · techysurgeon.comAscension Macomb Oakland Hosp-Warren Campus: what a joint replacement costs
Warren, MI 48093 · CMS Certification Number 230195. 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 Ascension Macomb Oakland Hosp-Warren Campus
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,716 | $61,443 | 3.9× | $10,984 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,380 | $61,533 | 3.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,287 | 1.3× | $8,400–$25,519 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Priority HMO | $25,519 | 1.6× | 1 |
| Priority PPO | $25,519 | 1.6× | 1 |
| Ppom | $20,596 | 1.3× | 1 |
| Smarthealth | $20,287 | 1.3× | 1 |
| UnitedHealthcare | $10,828 | 0.7× | 1 |
| Aetna | $9,410 | 0.6× | 1 |
| MultiPlan/PHCS (rental network) | $9,410 | 0.6× | 1 |
| Humana | $8,400 | 0.5× | 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: 3.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 348 beds
Michigan requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Ascension Macomb Oakland Hosp-Warren Campus for a knee or hip replacement?
In 2024 the average total payment to Ascension Macomb Oakland Hosp-Warren Campus for an inpatient hip or knee replacement stay was $15,716 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,984 per outpatient case (APC 5115, 42 cases).
What is Ascension Macomb Oakland Hosp-Warren Campus's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $61,443, 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 Macomb Oakland Hosp-Warren Campus?
Yes for Medicare facility payments. Michigan Advanced Surgical Center, an orthopedic surgery center 1.7 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $7,116 less than an inpatient stay at Ascension Macomb Oakland Hosp-Warren Campus. Not every patient is a surgery-center candidate.
How does Ascension Macomb Oakland Hosp-Warren Campus compare with other Michigan hospitals?
Ascension Macomb Oakland Hosp-Warren Campus's average total payment per Medicare stay is lower than 62% of the 37 Michigan hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Ascension Macomb Oakland Hosp-Warren Campus 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 $20,287 across 7 insurers, ranging from $8,400 to $25,519.