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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,691 | $24,248 | 1.5× | $13,935 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,846 | $32,514 | 1.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $14,490 | 0.9× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $14,490 | 0.9× | 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.
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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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).
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.
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.
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.
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.