Price AtlasInteractive atlas · All states · techysurgeon.comHenry Ford Health Rochester Hospital: what a joint replacement costs
Rochester, MI 48307 · CMS Certification Number 230254. 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 Henry Ford Health Rochester Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,861 | $56,342 | 3.8× | $11,556 |
| Shoulder replacement | — | — | — | $16,575 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,606 | 1.8× | $13,056–$40,157 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Michigan | $40,157 | 2.7× | 1 |
| Smarthealth | $13,056 | 0.9× | 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: 3.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 290 beds
Michigan requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Henry Ford Health Rochester Hospital for a knee or hip replacement?
In 2024 the average total payment to Henry Ford Health Rochester Hospital for an inpatient hip or knee replacement stay was $14,861 (MS-DRG 470, 46 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,556 per outpatient case (APC 5115, 190 cases).
What is Henry Ford Health Rochester Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,342, 3.8× 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 Henry Ford Health Rochester Hospital?
Yes for Medicare facility payments. Capital Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $6,261 less than an inpatient stay at Henry Ford Health Rochester Hospital. Not every patient is a surgery-center candidate.
How does Henry Ford Health Rochester Hospital compare with other Michigan hospitals?
Henry Ford Health Rochester Hospital's average total payment per Medicare stay is lower than 84% of the 37 Michigan hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Henry Ford Health Rochester 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 $26,606 across 2 insurers, ranging from $13,056 to $40,157.