Commerce Township, MI 48382 · CMS Certification Number 230277. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,163 | $131,871 | 8.7× | $11,626 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,196 | 2.5× | $35,335–$41,058 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Michigan | $41,058 | 2.7× | 1 |
| UnitedHealthcare | $35,335 | 2.3× | 1 |
From the hospital's price-transparency file (2026-05-20); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-05-20); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 7.2%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 153 beds
Michigan requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Huron Valley-Sinai Hospital for an inpatient hip or knee replacement stay was $15,163 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,626 per outpatient case (APC 5115, 113 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $131,871, 8.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Michigan Outpatient Surgical Solutions, an orthopedic surgery center 5.7 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $6,563 less than an inpatient stay at Huron Valley-Sinai Hospital. Not every patient is a surgery-center candidate.
Huron Valley-Sinai Hospital's average total payment per Medicare stay is lower than 81% of the 37 Michigan hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $38,196 across 2 insurers, ranging from $35,335 to $41,058.