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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,442 | $40,148 | 2.1× | $14,058 |
| Shoulder replacement | — | — | — | $19,966 |
| Hip replacement after a fracture (DRG 522) | $21,786 | $44,942 | 2.1× | — |
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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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).
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.
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.
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.