How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in Michigan?

CPT 469 โ€” the fair price, every hospital's price, and the Medicare benchmark for Michigan.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
469 Major hip/knee joint replacement, inpatient, w/ MCC
โš  bare numeric assumed MS-DRG; verify
Market typical price
$28,122
50 facilities ยท typical range $24,236 โ€“ $40,998 ยท 1.3ร— Medicare IPPS
What Medicare paysโ“˜
$22,072
Market typical
$28,122
Cash / self-pay price
$44,081
Prices near you โ€” 50 facilities, lowest first
FacilityTypePricevs MedicareQuality
DMC Harper University Hospital lowest Hospital $7,520negotiated 0.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
DMC Huron Valley-Sinai Hospital (Commerce Township) Hospital $7,520negotiated 0.3ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5%
Trinity Health Livonia Hospital Hospital $9,379negotiated 0.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.6%
McLaren Northern Michigan (Petoskey) Hospital $18,442cash 0.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.3%
Lake Huron Medical Center (Port Huron; Prime Healthcare) Hospital $22,040cash 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4%
Henry Ford Warren Hospital (former Ascension Macomb-Oakland) Hospital $22,787negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.5%
Henry Ford Wyandotte Hospital Hospital $22,822negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Henry Ford Macomb Hospital (Clinton Township) Hospital $23,207negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 5.6%
University of Michigan Health-Sparrow Lansing (Edward W. Sparrow Hospital) Hospital $23,455cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Henry Ford St. John Hospital (Detroit; former Ascension St. John) Hospital $23,477negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Henry Ford Jackson Hospital (former Allegiance Health) Hospital $23,671negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Henry Ford Rochester Hospital (former Ascension Providence Rochester) Hospital $24,222negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.6%
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 3 unusually low/high prices excluded from the typical price as likely data errors.
See Major hip/knee joint replacement, inpatient, w/ MCC prices in another area

What should 469 cost in Michigan?

For Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in Michigan, a fair self-pay price is around $28,122, with hospitals ranging from $24,236 to $40,998 across 50 facilities. Medicare's benchmark rate is $22,072, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in Michigan?

A fair self-pay price for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in Michigan is around $28,122, with hospital prices ranging from $24,236 to $40,998 across 50 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 469?

Medicare pays about $22,072 for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469). That's the negotiation floor โ€” a fair cash-pay target is roughly 1.5โ€“2ร— it, well below typical gross charges.

Can I negotiate the price of Major hip/knee joint replacement, inpatient, w/ MCC?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

Compare other procedures in Michigan

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.