Norwich, CT 06360 · CMS Certification Number 070024. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,918 | $43,041 | 2.5× | $14,451 |
| Shoulder replacement | — | — | — | $20,737 |
| Hip replacement after a fracture (DRG 522) | $19,185 | $64,488 | 3.4× | — |
Complications after hip or knee replacement: 5.8% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 213 beds
Connecticut requires a certificate of need for new surgery centers.
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In 2024 Medicare paid William W Backus Hospital an average of $16,918 per inpatient hip or knee replacement stay (MS-DRG 470, 66 stays) and $14,451 per outpatient case (APC 5115, 64 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,041, 2.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. River Valley ASC, LLC, an orthopedic surgery center same ZIP away, is paid about $9,349 by Medicare for a knee replacement (CPT 27447), $7,569 less than an inpatient stay at William W Backus Hospital. Not every patient is a surgery-center candidate.
Medicare paid William W Backus Hospital less than 83% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.