Holyoke, MA 01040 · CMS Certification Number 220024. 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 | $16,103 | $38,895 | 2.4× | $14,110 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 164 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Holyoke Medical Center an average of $16,103 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $14,110 per outpatient case (APC 5115, 48 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $38,895, 2.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Baystate New England Orthopedic Surgery Center, an orthopedic surgery center 6.5 mi away, is paid about $8,827 by Medicare for a knee replacement (CPT 27447), $7,276 less than an inpatient stay at Holyoke Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Holyoke Medical Center less than 72% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.