Methuen, MA 01844 · CMS Certification Number 220080. 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 | $16,324 | $35,690 | 2.2× | $13,742 |
| Shoulder replacement | — | — | — | $19,966 |
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 275 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Holy Family Hospital an average of $16,324 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $13,742 per outpatient case (APC 5115, 101 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $35,690, 2.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Atlantic Surgical Suites LLC, an orthopedic surgery center 3.8 mi away, is paid about $9,066 by Medicare for a knee replacement (CPT 27447), $7,258 less than an inpatient stay at Holy Family Hospital. Not every patient is a surgery-center candidate.
Medicare paid Holy Family Hospital less than 62% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.