Beverly, MA 01915 · CMS Certification Number 220033. 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 | $16,152 | $22,194 | 1.4× | $13,913 |
| Shoulder replacement | $20,430 | $36,552 | 1.8× | $19,966 |
| Hip replacement after a fracture (DRG 522) | $18,603 | $35,487 | 1.9× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 283 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Beverly Hospital Corporation an average of $16,152 per inpatient hip or knee replacement stay (MS-DRG 470, 195 stays) and $13,913 per outpatient case (APC 5115, 159 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $22,194, 1.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northeast Ambulatory Center, Inc, an orthopedic surgery center 13.5 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $6,886 less than an inpatient stay at Beverly Hospital Corporation. Not every patient is a surgery-center candidate.
Medicare paid Beverly Hospital Corporation less than 67% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.