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Cape Cod Hospital: what a joint replacement costs

Hyannis, MA 02601 · CMS Certification Number 220012. 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
$9,585
Cape Cod Surgery Center, 10.7 mi
Outpatient here
$14,058
Medicare allowed amount, 480 cases, APC 5115
Inpatient here
$19,442
Avg total payment (incl. patient share), 29 Medicare stays, MS-DRG 470

Medicare prices at Cape Cod Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,442$40,1482.1×$14,058
Shoulder replacement———$19,966
Hip replacement after a fracture (DRG 522)$21,786$44,9422.1×—

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 7.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 259 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Cape Cod Hospital for a knee or hip replacement?

In 2024 the average total payment to Cape Cod Hospital for an inpatient hip or knee replacement stay was $19,442 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,058 per outpatient case (APC 5115, 480 cases).

What is Cape Cod Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,148, 2.1× 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 Cape Cod Hospital?

Yes for Medicare facility payments. Cape Cod Surgery Center, an orthopedic surgery center 10.7 mi away, is paid about $9,585 by Medicare for a knee replacement (CPT 27447), $9,857 less than an inpatient stay at Cape Cod Hospital. Not every patient is a surgery-center candidate.

How does Cape Cod Hospital compare with other Massachusetts hospitals?

Cape Cod Hospital's average total payment per Medicare stay is higher than 69% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.