Springfield, MA 01199 · CMS Certification Number 220077. 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 | $20,083 | $39,655 | 2.0× | $14,026 |
| Shoulder replacement | $26,254 | $47,592 | 1.8× | $19,846 |
| Hip replacement after a fracture (DRG 522) | $22,425 | $40,508 | 1.8× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 716 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Baystate Medical Center an average of $20,083 per inpatient hip or knee replacement stay (MS-DRG 470, 192 stays) and $14,026 per outpatient case (APC 5115, 741 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,655, 2.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Baystate New England Orthopedic Surgery Center, an orthopedic surgery center 0.2 mi away, is paid about $8,827 by Medicare for a knee replacement (CPT 27447), $11,256 less than an inpatient stay at Baystate Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Baystate Medical Center more than 74% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.