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Massachusetts 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.

Surgery center nearby
$9,266
Shields Surgery Center, 4.6 mi
Outpatient here
$14,010
624 Medicare cases, APC 5115
Inpatient here
$24,357
97 Medicare stays, MS-DRG 470

Medicare prices at Massachusetts General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,357$82,9263.4×$14,010
Shoulder replacement$31,863$111,8553.5×$19,966
Hip replacement after a fracture (DRG 522)$25,375$111,9784.4×—

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 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).

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× what Medicare paid. 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?

Medicare paid Massachusetts General Hospital more than 92% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.