Price AtlasInteractive atlas · All states · techysurgeon.comBerkshire Medical Center Inc - 1: what a joint replacement costs
Pittsfield, MA 01201 · CMS Certification Number 220046. 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.
Medicare prices at Berkshire Medical Center Inc - 1
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,912 | $50,823 | 2.6× | $14,740 |
| Shoulder replacement | — | — | — | $20,967 |
| Hip replacement after a fracture (DRG 522) | $22,673 | $51,319 | 2.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,788 | 1.1× | $20,607–$22,884 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| CommCare Alliance | $22,884 | 1.1× | 1 |
| Elevance/Anthem/Empire | $22,788 | 1.1× | 1 |
| UnitedHealthcare | $20,607 | 1.0× | 1 |
From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 319 beds
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Questions
How much does Medicare pay Berkshire Medical Center Inc - 1 for a knee or hip replacement?
In 2024 the average total payment to Berkshire Medical Center Inc - 1 for an inpatient hip or knee replacement stay was $19,912 (MS-DRG 470, 56 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,740 per outpatient case (APC 5115, 172 cases).
What is Berkshire Medical Center Inc - 1's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,823, 2.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
How does Berkshire Medical Center Inc - 1 compare with other Massachusetts hospitals?
Berkshire Medical Center Inc - 1's average total payment per Medicare stay is higher than 72% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Berkshire Medical Center Inc - 1 for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,788 across 3 insurers, ranging from $20,607 to $22,884.