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Waterbury Hospital: what a joint replacement costs

Waterbury, CT 06721 · CMS Certification Number 070005. 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
$9,655
Waterbury Surgery Center, LLC, 0.8 mi
Outpatient here
$14,413
Medicare allowed amount, 54 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Waterbury Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$14,413
Shoulder replacement———$20,737
Hip replacement after a fracture (DRG 522)$21,172$89,6804.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,937—$35,478–$47,1675
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$47,167—1
Cigna$38,402—1
UnitedHealthcare$37,937—1
Elevance/Anthem/Empire$36,771—1
ConnectiCare$35,478—1

From the hospital's price-transparency file (2026-05-13); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-05-13); commercial plans, dollar-amount contracts only.

Quality

Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 357 beds

Connecticut requires a certificate of need for new surgery centers.

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Questions

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

The Medicare allowed amount averaged $14,413 per outpatient hip or knee replacement case (APC 5115, 54 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Waterbury Hospital?

Yes for Medicare facility payments. Waterbury Surgery Center, LLC, an orthopedic surgery center 0.8 mi away, is paid about $9,655 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Waterbury 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 $37,937 across 5 insurers, ranging from $35,478 to $47,167.