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Baystate Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,827
Baystate New England Orthopedic Surgery Center, 0.2 mi
Outpatient here
$14,026
Medicare allowed amount, 741 cases, APC 5115
Inpatient here
$20,083
Avg total payment (incl. patient share), 192 Medicare stays, MS-DRG 470

Medicare prices at Baystate Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,083$39,6552.0×$14,026
Shoulder replacement$26,254$47,5921.8×$19,846
Hip replacement after a fracture (DRG 522)$22,425$40,5081.8×—

Quality

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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Questions

How much does Medicare pay Baystate Medical Center for a knee or hip replacement?

In 2024 the average total payment to Baystate Medical Center for an inpatient hip or knee replacement stay was $20,083 (MS-DRG 470, 192 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,026 per outpatient case (APC 5115, 741 cases).

What is Baystate Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,655, 2.0× 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 Baystate Medical Center?

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.

How does Baystate Medical Center compare with other Massachusetts hospitals?

Baystate Medical Center's average total payment per Medicare stay is higher than 74% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.