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Holyoke Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,827
Baystate New England Orthopedic Surgery Center, 6.5 mi
Outpatient here
$14,110
Medicare allowed amount, 48 cases, APC 5115
Inpatient here
$16,103
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Holyoke Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,103$38,8952.4×$14,110
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,1421.2×$18,872–$25,6276
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$25,6271.6×1
UnitedHealthcare$20,1211.2×1
Fallon$19,2321.2×1
Wellsense Sco$19,0521.2×1
Commonwealth Care Alliance$18,8721.2×1
Tufts Health Public Plans$18,8721.2×1

From the hospital's price-transparency file (2026-05-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-05-01); commercial plans, dollar-amount contracts only.

Quality

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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Questions

How much does Medicare pay Holyoke Medical Center for a knee or hip replacement?

In 2024 the average total payment to Holyoke Medical Center for an inpatient hip or knee replacement stay was $16,103 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,110 per outpatient case (APC 5115, 48 cases).

What is Holyoke Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $38,895, 2.4× 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 Holyoke Medical Center?

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.

How does Holyoke Medical Center compare with other Massachusetts hospitals?

Holyoke Medical Center's average total payment per Medicare stay is lower than 72% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Holyoke Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $19,142 across 6 insurers, ranging from $18,872 to $25,627.