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Boston Medical Center Corporation-: what a joint replacement costs

Boston, MA 02118 · CMS Certification Number 220031. 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
$9,266
Shields Surgery Center, 6.2 mi
Outpatient here
$13,879
Medicare allowed amount, 54 cases, APC 5115
Inpatient here
$29,796
Avg total payment (incl. patient share), 16 Medicare stays, MS-DRG 470

Medicare prices at Boston Medical Center Corporation-

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$29,796$51,6771.7×$13,879
Shoulder replacement———$18,438
Hip replacement after a fracture (DRG 522)$32,130$78,3542.4×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 441 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Boston Medical Center Corporation- for a knee or hip replacement?

In 2024 the average total payment to Boston Medical Center Corporation- for an inpatient hip or knee replacement stay was $29,796 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,879 per outpatient case (APC 5115, 54 cases).

What is Boston Medical Center Corporation-'s list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,677, 1.7× 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 Boston Medical Center Corporation-?

Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 6.2 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $20,530 less than an inpatient stay at Boston Medical Center Corporation-. Not every patient is a surgery-center candidate.

How does Boston Medical Center Corporation- compare with other Massachusetts hospitals?

Boston Medical Center Corporation-'s average total payment per Medicare stay is higher than 100% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.