Fall River, MA 02721 · CMS Certification Number 220020. 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 | $16,163 | $46,028 | 2.8× | $13,810 |
| Shoulder replacement | $21,610 | $52,459 | 2.4× | — |
Complications after hip or knee replacement: 5.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 160 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Brown University Health Saint Anne's Hospital an average of $16,163 per inpatient hip or knee replacement stay (MS-DRG 470, 184 stays) and $13,810 per outpatient case (APC 5115, 62 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,028, 2.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Same Day Surgiclinic, an orthopedic surgery center 4.2 mi away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447), $7,109 less than an inpatient stay at Brown University Health Saint Anne's Hospital. Not every patient is a surgery-center candidate.
Medicare paid Brown University Health Saint Anne's Hospital less than 64% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.