Port Huron, MI 48060 · CMS Certification Number 230216. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,795 | $46,061 | 3.6× | $11,255 |
| Shoulder replacement | — | — | — | $15,787 |
| Hip replacement after a fracture (DRG 522) | $14,190 | $45,909 | 3.2× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 163 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 Medicare paid McLaren Port Huron an average of $12,795 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,255 per outpatient case (APC 5115, 118 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,061, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Blue Water Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $4,195 less than an inpatient stay at McLaren Port Huron. Not every patient is a surgery-center candidate.
Medicare paid McLaren Port Huron less than 95% of the 37 Michigan hospitals that report inpatient hip or knee replacement.