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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,861 | $56,342 | 3.8× | $11,556 |
| Shoulder replacement | — | — | — | $16,575 |
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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In 2024 Medicare paid Henry Ford Health Rochester Hospital an average of $14,861 per inpatient hip or knee replacement stay (MS-DRG 470, 46 stays) and $11,556 per outpatient case (APC 5115, 190 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,342, 3.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Henry Ford Health Rochester Hospital less than 84% of the 37 Michigan hospitals that report inpatient hip or knee replacement.