Hartford, CT 06105 · CMS Certification Number 070002. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,552 | $64,145 | 3.3× | $14,484 |
| Shoulder replacement | $26,873 | $105,403 | 3.9× | $20,737 |
| Hip replacement after a fracture (DRG 522) | $21,370 | $90,537 | 4.2× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 617 beds
Connecticut requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Saint Francis Hospital & Medical Center an average of $19,552 per inpatient hip or knee replacement stay (MS-DRG 470, 37 stays) and $14,484 per outpatient case (APC 5115, 303 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,145, 3.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Lighthouse Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $9,533 by Medicare for a knee replacement (CPT 27447), $10,019 less than an inpatient stay at Saint Francis Hospital & Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Saint Francis Hospital & Medical Center more than 75% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.