Price AtlasInteractive atlas · All states · techysurgeon.comMiddlesex Hospital: what a joint replacement costs
Middletown, CT 06457 · CMS Certification Number 070020. 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.
Medicare prices at Middlesex Hospital
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,543 | $60,231 | 3.4× | $14,797 |
| Shoulder replacement | — | — | — | $20,939 |
| Hip replacement after a fracture (DRG 522) | $19,830 | $80,703 | 4.1× | — |
Quality
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 275 beds
Connecticut requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Middlesex Hospital for a knee or hip replacement?
In 2024 Medicare paid Middlesex Hospital an average of $17,543 per inpatient hip or knee replacement stay (MS-DRG 470, 36 stays) and $14,797 per outpatient case (APC 5115, 66 cases).
What is Middlesex Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,231, 3.4× 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 Middlesex Hospital?
Yes for Medicare facility payments. Middlesex Endoscopy Center, an orthopedic surgery center same ZIP away, is paid about $9,533 by Medicare for a knee replacement (CPT 27447), $8,010 less than an inpatient stay at Middlesex Hospital. Not every patient is a surgery-center candidate.
How does Middlesex Hospital compare with other Connecticut hospitals?
Medicare paid Middlesex Hospital less than 67% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.