Salem, MA 01970 · CMS Certification Number 220035. 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 | $18,242 | $48,737 | 2.7× | $13,975 |
| Shoulder replacement | $22,890 | $68,824 | 3.0× | $19,966 |
| Hip replacement after a fracture (DRG 522) | $19,647 | $58,410 | 3.0× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 415 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid North Shore Medical Center - an average of $18,242 per inpatient hip or knee replacement stay (MS-DRG 470, 67 stays) and $13,975 per outpatient case (APC 5115, 269 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $48,737, 2.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northeast Ambulatory Center, Inc, an orthopedic surgery center 12.3 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $8,976 less than an inpatient stay at North Shore Medical Center -. Not every patient is a surgery-center candidate.
Medicare paid North Shore Medical Center - more than 62% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.