Lowell, MA 01854 · CMS Certification Number 220063. 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 | $17,566 | $32,973 | 1.9× | $13,959 |
| Shoulder replacement | — | — | — | $19,966 |
| Hip replacement after a fracture (DRG 522) | $18,834 | $38,756 | 2.1× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 158 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Lowell General Hospital an average of $17,566 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $13,959 per outpatient case (APC 5115, 247 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $32,973, 1.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Surgery Center of Greater Nashua, an orthopedic surgery center 8.4 mi away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $8,706 less than an inpatient stay at Lowell General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Lowell General Hospital more than 56% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.