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Anna Jaques Hospital: what a joint replacement costs

Newburyport, MA 01950 · CMS Certification Number 220029. 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
$9,066
Portsmouth Surgery Center, 5.1 mi
Outpatient here
$13,935
Medicare allowed amount, 143 cases, APC 5115
Inpatient here
$15,691
Avg total payment (incl. patient share), 80 Medicare stays, MS-DRG 470

Medicare prices at Anna Jaques Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,691$24,2481.5×$13,935
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,846$32,5141.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$14,4900.9×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$14,4900.9×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 123 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Anna Jaques Hospital for a knee or hip replacement?

In 2024 the average total payment to Anna Jaques Hospital for an inpatient hip or knee replacement stay was $15,691 (MS-DRG 470, 80 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,935 per outpatient case (APC 5115, 143 cases).

What is Anna Jaques Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $24,248, 1.5× 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 Anna Jaques Hospital?

Yes for Medicare facility payments. Portsmouth Surgery Center, an orthopedic surgery center 5.1 mi away, is paid about $9,066 by Medicare for a knee replacement (CPT 27447), $6,625 less than an inpatient stay at Anna Jaques Hospital. Not every patient is a surgery-center candidate.

How does Anna Jaques Hospital compare with other Massachusetts hospitals?

Anna Jaques Hospital's average total payment per Medicare stay is lower than 85% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Anna Jaques Hospital 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 $14,490 across 1 insurer.