Lawrence, MA 01842 · CMS Certification Number 220010. 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 | $17,975 | $41,371 | 2.3× | $14,110 |
| Shoulder replacement | — | — | — | $19,966 |
| Hip replacement after a fracture (DRG 522) | $20,052 | $41,201 | 2.1× | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 189 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Lawrence General Hospital an average of $17,975 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $14,110 per outpatient case (APC 5115, 73 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,371, 2.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Atlantic Surgical Suites LLC, an orthopedic surgery center 6.6 mi away, is paid about $9,066 by Medicare for a knee replacement (CPT 27447), $8,909 less than an inpatient stay at Lawrence General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Lawrence General Hospital more than 59% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.