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Southern Maine Health Care: what a joint replacement costs

Biddeford, ME 04005 · CMS Certification Number 200019. 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
$8,975
Oa ASC LLC, 14.7 mi
Outpatient here
$12,348
54 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Southern Maine Health Care

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,348
Shoulder replacement————

Quality

150 beds

Maine requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Southern Maine Health Care for a knee or hip replacement?

Medicare allowed an average of $12,348 per outpatient hip or knee replacement case (APC 5115, 54 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Southern Maine Health Care?

Yes for Medicare facility payments. Oa ASC LLC, an orthopedic surgery center 14.7 mi away, is paid about $8,975 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.