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McLaren Macomb: what a joint replacement costs

Mount Clemens, MI 48043 · CMS Certification Number 230227. 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
Premier Surgical Center of Michigan, 3.1 mi
Outpatient here
$11,391
Medicare allowed amount, 107 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at McLaren Macomb

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,391
Shoulder replacement———$15,458
Hip replacement after a fracture (DRG 522)$18,932$77,7444.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,383—$19,975–$34,7912
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Michigan$34,791—1
MI Amish Medical Board$19,975—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: 1 of 5 stars. Nonprofit · Acute · 288 beds

Michigan requires a certificate of need for new surgery centers.

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Questions

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

The Medicare allowed amount averaged $11,391 per outpatient hip or knee replacement case (APC 5115, 107 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. Premier Surgical Center of Michigan, an orthopedic surgery center 3.1 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 Macomb 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 $27,383 across 2 insurers, ranging from $19,975 to $34,791.