Troy, MI 48085 · CMS Certification Number 230269. 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 | $13,080 | $66,295 | 5.1× | $11,648 |
| Shoulder replacement | $17,191 | $99,978 | 5.8× | $16,142 |
| Hip replacement after a fracture (DRG 522) | $14,580 | $90,995 | 6.2× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 254 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Corewell Health Beaumont Troy Hospital an average of $13,080 per inpatient hip or knee replacement stay (MS-DRG 470, 52 stays) and $11,648 per outpatient case (APC 5115, 300 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,295, 5.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Unasource Surgery Center, an orthopedic surgery center 2.9 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $4,480 less than an inpatient stay at Corewell Health Beaumont Troy Hospital. Not every patient is a surgery-center candidate.
Medicare paid Corewell Health Beaumont Troy Hospital less than 92% of the 37 Michigan hospitals that report inpatient hip or knee replacement.