Price AtlasInteractive atlas · All states · techysurgeon.comCambridge Health Alliance: what a joint replacement costs
Cambridge, MA 02138 · CMS Certification Number 220011. 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.
Medicare prices at Cambridge Health Alliance
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $27,365 | $20,965 | 0.8× | $13,750 |
| Shoulder replacement | — | — | — | — |
Quality
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 7.3%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 159 beds
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Questions
How much does Medicare pay Cambridge Health Alliance for a knee or hip replacement?
In 2024 the average total payment to Cambridge Health Alliance for an inpatient hip or knee replacement stay was $27,365 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,750 per outpatient case (APC 5115, 34 cases).
What is Cambridge Health Alliance's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $20,965, 0.8× 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 Cambridge Health Alliance?
Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 3.4 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $18,099 less than an inpatient stay at Cambridge Health Alliance. Not every patient is a surgery-center candidate.
How does Cambridge Health Alliance compare with other Massachusetts hospitals?
Cambridge Health Alliance's average total payment per Medicare stay is higher than 97% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.