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Lawrence General Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,066
North Atlantic Surgical Suites LLC, 6.6 mi
Outpatient here
$14,110
Medicare allowed amount, 73 cases, APC 5115
Inpatient here
$17,975
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Lawrence General Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,975$41,3712.3×$14,110
Shoulder replacement———$19,966
Hip replacement after a fracture (DRG 522)$20,052$41,2012.1×—

Quality

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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Questions

How much does Medicare pay Lawrence General Hospital for a knee or hip replacement?

In 2024 the average total payment to Lawrence General Hospital for an inpatient hip or knee replacement stay was $17,975 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,110 per outpatient case (APC 5115, 73 cases).

What is Lawrence General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,371, 2.3× the average total payment for a Medicare stay. 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 Lawrence General Hospital?

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.

How does Lawrence General Hospital compare with other Massachusetts hospitals?

Lawrence General Hospital's average total payment per Medicare stay is higher than 59% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.