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Saint Francis Hospital & Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,533
Lighthouse Surgery Center, LLC, same ZIP
Outpatient here
$14,484
303 Medicare cases, APC 5115
Inpatient here
$19,552
37 Medicare stays, MS-DRG 470

Medicare prices at Saint Francis Hospital & Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,552$64,1453.3×$14,484
Shoulder replacement$26,873$105,4033.9×$20,737
Hip replacement after a fracture (DRG 522)$21,370$90,5374.2×—

Quality

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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Questions

How much does Medicare pay Saint Francis Hospital & Medical Center for a knee or hip replacement?

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).

What is Saint Francis Hospital & Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Saint Francis Hospital & Medical Center?

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.

How does Saint Francis Hospital & Medical Center compare with other Connecticut hospitals?

Medicare paid Saint Francis Hospital & Medical Center more than 75% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.