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William W Backus Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,349
River Valley ASC, LLC, same ZIP
Outpatient here
$14,451
64 Medicare cases, APC 5115
Inpatient here
$16,918
66 Medicare stays, MS-DRG 470

Medicare prices at William W Backus Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,918$43,0412.5×$14,451
Shoulder replacement———$20,737
Hip replacement after a fracture (DRG 522)$19,185$64,4883.4×—

Quality

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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Questions

How much does Medicare pay William W Backus Hospital for a knee or hip replacement?

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).

What is William W Backus Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near William W Backus Hospital?

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.

How does William W Backus Hospital compare with other Connecticut hospitals?

Medicare paid William W Backus Hospital less than 83% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.