Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Midstate Medical Center: what a joint replacement costs

Meriden, CT 06450 · CMS Certification Number 070017. 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
Middlesex Endoscopy Center, 6.1 mi
Outpatient here
$14,417
622 Medicare cases, APC 5115
Inpatient here
$16,516
66 Medicare stays, MS-DRG 470

Medicare prices at Midstate Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,516$40,6232.5×$14,417
Shoulder replacement$22,354$61,2172.7×$20,512
Hip replacement after a fracture (DRG 522)$18,028$55,8113.1×—

Quality

Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 144 beds

Connecticut requires a certificate of need for new surgery centers.

Open the interactive price tagBuild a reportAll Connecticut hospitals

Questions

How much does Medicare pay Midstate Medical Center for a knee or hip replacement?

In 2024 Medicare paid Midstate Medical Center an average of $16,516 per inpatient hip or knee replacement stay (MS-DRG 470, 66 stays) and $14,417 per outpatient case (APC 5115, 622 cases).

What is Midstate Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,623, 2.5× 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 Midstate Medical Center?

Yes for Medicare facility payments. Middlesex Endoscopy Center, an orthopedic surgery center 6.1 mi away, is paid about $9,533 by Medicare for a knee replacement (CPT 27447), $6,983 less than an inpatient stay at Midstate Medical Center. Not every patient is a surgery-center candidate.

How does Midstate Medical Center compare with other Connecticut hospitals?

Medicare paid Midstate Medical Center less than 92% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.