Boston, MA 02114 · CMS Certification Number 220071. 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 | $24,357 | $82,926 | 3.4× | $14,010 |
| Shoulder replacement | $31,863 | $111,855 | 3.5× | $19,966 |
| Hip replacement after a fracture (DRG 522) | $25,375 | $111,978 | 4.4× | — |
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 907 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Massachusetts General Hospital an average of $24,357 per inpatient hip or knee replacement stay (MS-DRG 470, 97 stays) and $14,010 per outpatient case (APC 5115, 624 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,926, 3.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 4.6 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $15,091 less than an inpatient stay at Massachusetts General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Massachusetts General Hospital more than 92% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.