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Beverly Hospital Corporation: what a joint replacement costs

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.

Surgery center nearby
$9,266
Northeast Ambulatory Center, Inc, 13.5 mi
Outpatient here
$13,913
159 Medicare cases, APC 5115
Inpatient here
$16,152
195 Medicare stays, MS-DRG 470

Medicare prices at Beverly Hospital Corporation

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,152$22,1941.4×$13,913
Shoulder replacement$20,430$36,5521.8×$19,966
Hip replacement after a fracture (DRG 522)$18,603$35,4871.9×—

Quality

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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Questions

How much does Medicare pay Beverly Hospital Corporation for a knee or hip replacement?

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).

What is Beverly Hospital Corporation's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Beverly Hospital Corporation?

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.

How does Beverly Hospital Corporation compare with other Massachusetts hospitals?

Medicare paid Beverly Hospital Corporation less than 67% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.