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Southcoast Hospital Group, Inc: what a joint replacement costs

Fall River, MA 02720 · CMS Certification Number 220074. 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
$9,054
Same Day Surgiclinic, same ZIP
Outpatient here
$13,979
186 Medicare cases, APC 5115
Inpatient here
$16,911
203 Medicare stays, MS-DRG 470

Medicare prices at Southcoast Hospital Group, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,911$56,4163.3×$13,979
Shoulder replacement———$19,966
Hip replacement after a fracture (DRG 522)$17,669$56,7563.2×—

Quality

Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 695 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Southcoast Hospital Group, Inc for a knee or hip replacement?

In 2024 Medicare paid Southcoast Hospital Group, Inc an average of $16,911 per inpatient hip or knee replacement stay (MS-DRG 470, 203 stays) and $13,979 per outpatient case (APC 5115, 186 cases).

What is Southcoast Hospital Group, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,416, 3.3× 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 Southcoast Hospital Group, Inc?

Yes for Medicare facility payments. Same Day Surgiclinic, an orthopedic surgery center same ZIP away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447), $7,857 less than an inpatient stay at Southcoast Hospital Group, Inc. Not every patient is a surgery-center candidate.

How does Southcoast Hospital Group, Inc compare with other Massachusetts hospitals?

Medicare paid Southcoast Hospital Group, Inc more than 51% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.