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St Elizabeth's Medical Center: what a joint replacement costs

Brighton, MA 02135 · CMS Certification Number 220036. 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
Shields Surgery Center, 5.6 mi
Outpatient here
$13,698
30 Medicare cases, APC 5115
Inpatient here
$21,739
27 Medicare stays, MS-DRG 470

Medicare prices at St Elizabeth's Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$21,739$47,8042.2×$13,698
Shoulder replacement————

Quality

Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 252 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Elizabeth's Medical Center for a knee or hip replacement?

In 2024 Medicare paid St Elizabeth's Medical Center an average of $21,739 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $13,698 per outpatient case (APC 5115, 30 cases).

What is St Elizabeth's Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,804, 2.2× 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 St Elizabeth's Medical Center?

Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 5.6 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $12,473 less than an inpatient stay at St Elizabeth's Medical Center. Not every patient is a surgery-center candidate.

How does St Elizabeth's Medical Center compare with other Massachusetts hospitals?

Medicare paid St Elizabeth's Medical Center more than 82% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.