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Brown University Health Saint Anne's Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,054
Same Day Surgiclinic, 4.2 mi
Outpatient here
$13,810
Medicare allowed amount, 62 cases, APC 5115
Inpatient here
$16,163
Avg total payment (incl. patient share), 184 Medicare stays, MS-DRG 470

Medicare prices at Brown University Health Saint Anne's Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,163$46,0282.8×$13,810
Shoulder replacement$21,610$52,4592.4×—

Quality

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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Questions

How much does Medicare pay Brown University Health Saint Anne's Hospital for a knee or hip replacement?

In 2024 the average total payment to Brown University Health Saint Anne's Hospital for an inpatient hip or knee replacement stay was $16,163 (MS-DRG 470, 184 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,810 per outpatient case (APC 5115, 62 cases).

What is Brown University Health Saint Anne's Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,028, 2.8× 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 Brown University Health Saint Anne's Hospital?

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.

How does Brown University Health Saint Anne's Hospital compare with other Massachusetts hospitals?

Brown University Health Saint Anne's Hospital's average total payment per Medicare stay is lower than 64% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.