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Mercy Medical Ctr: what a joint replacement costs

Springfield, MA 01104 · CMS Certification Number 220066. 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
$8,827
Surgery Center of New England, same ZIP
Outpatient here
$13,737
Medicare allowed amount, 67 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Mercy Medical Ctr

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,737
Shoulder replacement———$19,966
Hip replacement after a fracture (DRG 522)$17,587$41,8272.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$35,984—$23,390–$38,8637
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Prime Health Services (rental network)$43,181—1
Claimdoc$38,863—1
Diversified Administrators$38,863—1
Innovative Health Plan Ii$38,863—1
Centivo$35,984—1
Cigna$28,054—1
HealthPartners$28,054—1
Fallon Health$23,390—1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 339 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Mercy Medical Ctr for a knee or hip replacement?

The Medicare allowed amount averaged $13,737 per outpatient hip or knee replacement case (APC 5115, 67 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Mercy Medical Ctr?

Yes for Medicare facility payments. Surgery Center of New England, an orthopedic surgery center same ZIP away, is paid about $8,827 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Mercy Medical Ctr 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 $35,984 across 7 insurers, ranging from $23,390 to $38,863.