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North Shore Medical Center -: what a joint replacement costs

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.

Surgery center nearby
$9,266
Northeast Ambulatory Center, Inc, 12.3 mi
Outpatient here
$13,975
269 Medicare cases, APC 5115
Inpatient here
$18,242
67 Medicare stays, MS-DRG 470

Medicare prices at North Shore Medical Center -

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,242$48,7372.7×$13,975
Shoulder replacement$22,890$68,8243.0×$19,966
Hip replacement after a fracture (DRG 522)$19,647$58,4103.0×—

Quality

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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Questions

How much does Medicare pay North Shore Medical Center - for a knee or hip replacement?

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).

What is North Shore Medical Center -'s list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near North Shore Medical Center -?

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.

How does North Shore Medical Center - compare with other Massachusetts hospitals?

Medicare paid North Shore Medical Center - more than 62% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.