Price AtlasInteractive atlas · All states · techysurgeon.comMassachusetts General Hospital: what a joint replacement costs
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.
Medicare prices at Massachusetts General Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,071 | 1.2× | $18,268–$30,979 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Massachusetts | $30,979 | 1.3× | 1 |
| Mgb Health Plan | $29,071 | 1.2× | 1 |
| Commonwealth Care Alliance | $18,268 | 0.8× | 1 |
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Massachusetts General Hospital for a knee or hip replacement?
In 2024 the average total payment to Massachusetts General Hospital for an inpatient hip or knee replacement stay was $24,357 (MS-DRG 470, 97 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,010 per outpatient case (APC 5115, 624 cases).
What is Massachusetts General Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,926, 3.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Massachusetts General Hospital?
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.
How does Massachusetts General Hospital compare with other Massachusetts hospitals?
Massachusetts General Hospital's average total payment per Medicare stay is higher than 92% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Massachusetts General Hospital 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 $29,071 across 3 insurers, ranging from $18,268 to $30,979.