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Lawrence & Memorial Hospital: what a joint replacement costs

New London, CT 06320 · CMS Certification Number 070007. 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
$9,349
Constitution Surgery Center East LLC, 3.0 mi
Outpatient here
$14,655
Medicare allowed amount, 56 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Lawrence & Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$14,655
Shoulder replacement———$20,737
Hip replacement after a fracture (DRG 522)$19,526$53,1412.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$48,975—$17,717–$84,63812
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Champus$84,638—1
MultiPlan/PHCS (rental network)$75,328—1
Cigna$53,053—1
CtCare$53,023—1
Advanced Medical Pricing Solutions (AMPS)$49,590—1
ClaimDoc$49,590—1
Elevance/Anthem/Empire$49,590—1
Aetna$48,360—1
Create Alliance$48,244—1
UnitedHealthcare$47,231—1
Harvard Pilgrim$28,866—1
Great West Network$25,391—1
Tufts Health Plan$17,717—1

From the hospital's price-transparency file (2026-09-19); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-19); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 280 beds

Connecticut requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Lawrence & Memorial Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $14,655 per outpatient hip or knee replacement case (APC 5115, 56 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Lawrence & Memorial Hospital?

Yes for Medicare facility payments. Constitution Surgery Center East LLC, an orthopedic surgery center 3.0 mi away, is paid about $9,349 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Lawrence & Memorial 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 $48,975 across 12 insurers, ranging from $17,717 to $84,638.