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Berkshire 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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$14,740
172 Medicare cases, APC 5115
Inpatient here
$19,912
56 Medicare stays, MS-DRG 470

Medicare prices at Berkshire Medical Center Inc - 1

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,912$50,8232.6×$14,740
Shoulder replacement———$20,967
Hip replacement after a fracture (DRG 522)$22,673$51,3192.3×—

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

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Berkshire Medical Center Inc - 1 for a knee or hip replacement?

In 2024 Medicare paid Berkshire Medical Center Inc - 1 an average of $19,912 per inpatient hip or knee replacement stay (MS-DRG 470, 56 stays) and $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× what Medicare paid. 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?

Medicare paid Berkshire Medical Center Inc - 1 more than 72% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.