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Corewell Health Beaumont Troy Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,600
Unasource Surgery Center, 2.9 mi
Outpatient here
$11,648
300 Medicare cases, APC 5115
Inpatient here
$13,080
52 Medicare stays, MS-DRG 470

Medicare prices at Corewell Health Beaumont Troy Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,080$66,2955.1×$11,648
Shoulder replacement$17,191$99,9785.8×$16,142
Hip replacement after a fracture (DRG 522)$14,580$90,9956.2×—

Quality

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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Questions

How much does Medicare pay Corewell Health Beaumont Troy Hospital for a knee or hip replacement?

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).

What is Corewell Health Beaumont Troy Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Corewell Health Beaumont Troy Hospital?

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.

How does Corewell Health Beaumont Troy Hospital compare with other Michigan hospitals?

Medicare paid Corewell Health Beaumont Troy Hospital less than 92% of the 37 Michigan hospitals that report inpatient hip or knee replacement.