Updated April 2026

Hip and Femur Procedures Except Major Joint with MCC in Michigan

66 Michigan hospitals report Medicare totals for this DRG, averaging $19,700 (close to the $20,997 national mean), with a 2× spread from $10,879 to $26,181. 2 carry an A grade, 0 carry an F.

Hip and Femur Procedures Except Major Joint with MCC (DRG 480) is a Orthopedic procedure tracked in CMS Inpatient Payment files. Across Michigan, 2,631 hospitals report payment data for 547,962 total discharges, with an average Medicare payment of $20,997 (median $20,343). The $6,317-to-$47,512 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Michigan, the 2,631 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($20,997) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Hip and Femur Procedures Except Major Joint with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Musculoskeletal DRGs include hip and knee replacement, spine fusion, fracture repair, and major joint revision. Implant cost, length of stay, and rehab intensity drive most of the price variation across hospitals — DRGs 469/470 (joint replacement) are among the most-watched price benchmarks in Medicare.

Hip and Femur Procedures Except Major Joint with MCC is Medicare DRG 480 in the Orthopedic category. National Medicare average for this DRG is $20,997 across 2,631 reporting hospitals. The state-level view here filters that universe down to Michigan only.

Cost Picture in Michigan

Michigan's average for this DRG sits close to the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Michigan Reporting Hip and Femur Procedures Except Major Joint with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Saint Mary's Standish Community Hospital Standish	Standish	$10,879	Not Rated	C
2	Mclaren Flint Flint	Flint	$11,125	★☆☆☆☆	C
3	Helen Newberry Joy Hospital Newberry	Newberry	$11,492	Not Rated	C
4	Uphs Marquette Dlp Hospital Marquette	Marquette	$11,809	★★★☆☆	B
5	Garden City Hospital Garden City	Garden City	$12,500	★★☆☆☆	C
6	Wyandotte Hospital And Medical Center Wyandotte	Wyandotte	$13,345	★★☆☆☆	C
7	Mclaren Oakland Pontiac	Pontiac	$14,186	★★☆☆☆	C
8	Beaumont Hospital - Farmington Hills Farmington Hills	Farmington Hills	$14,561	★★☆☆☆	C
9	Henry Ford Allegiance Health Jackson	Jackson	$14,640	★★★☆☆	C
10	Havenwyck Hospital Auburn Hills	Auburn Hills	$15,145	Not Rated	C
11	Paul Oliver Memorial Hospital Frankfort	Frankfort	$15,403	Not Rated	B
12	Kalamazoo Regional Psychiatric Hospital Kalamazoo	Kalamazoo	$15,700	Not Rated	C
13	Beaumont Hospital - Taylor Taylor	Taylor	$16,273	★☆☆☆☆	D
14	Mclaren Northern Michigan Petoskey	Petoskey	$16,528	★★★★☆	B
15	Kalkaska Memorial Health Center Kalkaska	Kalkaska	$17,041	Not Rated	C
16	The Center For Forensic Psychiatry Saline	Saline	$17,657	Not Rated	C
17	Memorial Healthcare Owosso	Owosso	$17,931	★★★★☆	B
18	Corewell Health Zeeland Hospital Zeeland	Zeeland	$17,985	Not Rated	B
19	Trinity Health Oakland Hospital Pontiac	Pontiac	$18,375	★★☆☆☆	C
20	Metropolitan Behavioral Health Dearborn	Dearborn	$18,499	Not Rated	C
21	Mclaren Port Huron Port Huron	Port Huron	$18,503	★★☆☆☆	C
22	Beaumont Hospital, Troy Troy	Troy	$18,601	★★★☆☆	C
23	Munson Medical Center Traverse City	Traverse City	$18,711	★★★★☆	B
24	Beaumont Hospital Royal Oak Royal Oak	Royal Oak	$19,132	★★★☆☆	B
25	Caro Psychiatric Hospital Caro	Caro	$19,187	Not Rated	C
26	St Joe Mercy Hospital System Livonia Livonia	Livonia	$19,325	★★☆☆☆	C
27	Covenant Medical Center Saginaw	Saginaw	$19,521	★★☆☆☆	D
28	Corewell Health Reed City Hospital Reed City	Reed City	$19,831	Not Rated	C
29	Surgeons Choice Medical Center Southfield	Southfield	$19,994	Not Rated	C
30	Munson Healthcare Otsego Memorial Hospital Gaylord	Gaylord	$20,138	★★★★☆	B
31	Schoolcraft Memorial Hospital Manistique	Manistique	$20,161	Not Rated	C
32	Mclaren Central Michigan Mount Pleasant	Mount Pleasant	$20,336	★★★★☆	B
33	Mymichigan Medical Center West Branch West Branch	West Branch	$20,337	★★★★☆	B
34	Beaumont Hospital - Grosse Pointe Grosse Pointe	Grosse Pointe	$20,396	★★★★☆	B
35	Corewell Health Wayne Hospital Wayne	Wayne	$20,518	★☆☆☆☆	D
36	Bronson Methodist Hospital Kalamazoo	Kalamazoo	$20,546	★★★★☆	B
37	Harbor Beach Community Hospital Harbor Beach	Harbor Beach	$20,615	Not Rated	C
38	Bronson Lakeview Hospital Paw Paw	Paw Paw	$20,708	★★★★☆	B
39	University Of Michigan Health - Sparrow Eaton Charlotte	Charlotte	$20,714	Not Rated	C
40	Karmanos Cancer Center Detroit	Detroit	$20,832	★★★☆☆	C
41	Harper University Hospital Detroit	Detroit	$20,833	★☆☆☆☆	D
42	Deckerville Community Hospital Deckerville	Deckerville	$21,120	Not Rated	C
43	Aspirus Iron River Hospital & Clinics, Inc Iron River	Iron River	$21,308	Not Rated	C
44	Aspirus Keweenaw Hospital And Clinics Laurium	Laurium	$21,626	Not Rated	C
45	Munising Memorial Hospital Munising	Munising	$21,658	Not Rated	C
46	Bronson Battle Creek Hospital Battle Creek	Battle Creek	$21,766	★★★★☆	B
47	Ascension Providence Hospital, Southfield And Novi Southfield	Southfield	$21,793	★★★★☆	A
48	Hillsdale Hospital Hillsdale	Hillsdale	$21,898	★★☆☆☆	D
49	Straith Hospital For Special Surgery Southfield	Southfield	$22,161	Not Rated	C
50	Chippewa County War Memorial Hospital Sault Ste Marie	Sault Ste Marie	$22,204	★☆☆☆☆	C
51	Sparrow Clinton Hospital Saint Johns	Saint Johns	$22,267	★★★☆☆	C
52	Munson Healthcare Cadillac Hospital Cadillac	Cadillac	$22,420	★★★★☆	B
53	Ascension Genesys Hospital Grand Blanc	Grand Blanc	$22,779	★★☆☆☆	C
54	Mclaren Bay Region Bay City	Bay City	$22,833	★★☆☆☆	C
55	University Of Michigan Health - West Wyoming	Wyoming	$23,216	★★★★☆	B
56	Mercy Health Saint Mary's Grand Rapids	Grand Rapids	$23,297	★★★★☆	B
57	Spectrum Health Grand Rapids	Grand Rapids	$23,617	★★★★★	A
58	Mclaren Caro Region Caro	Caro	$23,639	Not Rated	C
59	Sheridan Community Hospital Sheridan	Sheridan	$23,934	Not Rated	C
60	Walter P Reuther Psychiatric Hospital Westland	Westland	$24,291	Not Rated	C
61	Osf St Francis Hospital And Medical Group Escanaba	Escanaba	$24,389	★★★☆☆	C
62	Corewell Health Trenton Hospital Trenton	Trenton	$25,037	★☆☆☆☆	D
63	Mymichigan Medical Center Clare Clare	Clare	$25,290	Not Rated	C
64	Mackinac Straits Hospital And Health Center Saint Ignace	Saint Ignace	$25,532	Not Rated	C
65	Kalamazoo Behavioral Health Hospital Kalamazoo	Kalamazoo	$25,908	Not Rated	C
66	Corewell Health Gerber Hospital Fremont	Fremont	$26,181	★★★★☆	B

Frequently Asked Questions

How much does hip and femur procedures except major joint with mcc cost in Michigan?

Hip and Femur Procedures Except Major Joint with MCC (DRG 480) averages $19,700 in total Medicare payment across 66 Michigan hospitals reporting this code. Within the state, payments span $10,879 to $26,181 — about 2× from cheapest to most expensive.

Is Hip and Femur Procedures Except Major Joint with MCC more or less expensive in Michigan than nationally?

Michigan's state-level average of $19,700 sits close to the national Medicare average of $20,997 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.