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McLaren Oakland: what a joint replacement costs

Pontiac, MI 48342 · CMS Certification Number 230207. 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
Bloomfield Hills Surgical Center , 4.6 mi
Outpatient here
$11,222
Medicare allowed amount, 28 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at McLaren Oakland

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,222
Shoulder replacement———$16,379

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$35,156—$23,391–$46,9222
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$46,922—1
MI Amish Medical Board$23,391—1

From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 308 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay McLaren Oakland for a knee or hip replacement?

The Medicare allowed amount averaged $11,222 per outpatient hip or knee replacement case (APC 5115, 28 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near McLaren Oakland?

Yes for Medicare facility payments. Bloomfield Hills Surgical Center , an orthopedic surgery center 4.6 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 McLaren Oakland 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 $35,156 across 2 insurers, ranging from $23,391 to $46,922.