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Holy Family Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,066
North Atlantic Surgical Suites LLC, 3.8 mi
Outpatient here
$13,742
101 Medicare cases, APC 5115
Inpatient here
$16,324
14 Medicare stays, MS-DRG 470

Medicare prices at Holy Family Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,324$35,6902.2×$13,742
Shoulder replacement———$19,966

Quality

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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Questions

How much does Medicare pay Holy Family Hospital for a knee or hip replacement?

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).

What is Holy Family Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Holy Family Hospital?

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.

How does Holy Family Hospital compare with other Massachusetts hospitals?

Medicare paid Holy Family Hospital less than 62% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.