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Maple Grove Hospital: what a joint replacement costs

Maple Grove, MN 55369 · CMS Certification Number 240214. 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
$9,341
North Memorial Ambulatory Surgery Center at Maple Grove LLC, same ZIP
Outpatient here
$12,442
Medicare allowed amount, 182 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Maple Grove Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,442
Shoulder replacement———$17,774

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,580—$14,937–$37,2006
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$37,200—1
HealthPartners$35,727—1
UnitedHealthcare$15,656—1
Medica$15,505—1
BCBS MN$15,355—1
Humana$14,937—1

From the hospital's price-transparency file (2026-09-25); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-25); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 90 beds

Minnesota has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Maple Grove Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $12,442 per outpatient hip or knee replacement case (APC 5115, 182 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Maple Grove Hospital?

Yes for Medicare facility payments. North Memorial Ambulatory Surgery Center at Maple Grove LLC, an orthopedic surgery center same ZIP away, is paid about $9,341 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Maple Grove Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,580 across 6 insurers, ranging from $14,937 to $37,200.