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Henry 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.

Surgery center nearby
$8,600
Capital Surgery Center, same ZIP
Outpatient here
$11,556
190 Medicare cases, APC 5115
Inpatient here
$14,861
46 Medicare stays, MS-DRG 470

Medicare prices at Henry Ford Health Rochester Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,861$56,3423.8×$11,556
Shoulder replacement———$16,575

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 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).

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× what Medicare paid. 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?

Medicare paid Henry Ford Health Rochester Hospital less than 84% of the 37 Michigan hospitals that report inpatient hip or knee replacement.