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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $29,796 | $51,677 | 1.7× | $13,879 |
| Shoulder replacement | — | — | — | $18,438 |
| Hip replacement after a fracture (DRG 522) | $32,130 | $78,354 | 2.4× | — |
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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In 2024 Medicare paid Boston Medical Center Corporation- an average of $29,796 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $13,879 per outpatient case (APC 5115, 54 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,677, 1.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Boston Medical Center Corporation- more than 100% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.