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Beth Israel Deaconess Medical Center: what a joint replacement costs

Boston, MA 02215 · CMS Certification Number 220086. 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
$9,266
Shields Surgery Center, 5.3 mi
Outpatient here
$14,110
Medicare allowed amount, 51 cases, APC 5115
Inpatient here
$23,807
Avg total payment (incl. patient share), 81 Medicare stays, MS-DRG 470

Medicare prices at Beth Israel Deaconess Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$23,807$39,3991.7×$14,110
Shoulder replacement$30,336$41,1821.4×$19,966
Hip replacement after a fracture (DRG 522)$28,908$48,7701.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$19,2080.8×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
MultiPlan/PHCS (rental network)$38,1541.6×1
Elevance/Anthem/Empire$19,2080.8×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 597 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Beth Israel Deaconess Medical Center for a knee or hip replacement?

In 2024 the average total payment to Beth Israel Deaconess Medical Center for an inpatient hip or knee replacement stay was $23,807 (MS-DRG 470, 81 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,110 per outpatient case (APC 5115, 51 cases).

What is Beth Israel Deaconess Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,399, 1.7× 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 Beth Israel Deaconess Medical Center?

Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 5.3 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $14,541 less than an inpatient stay at Beth Israel Deaconess Medical Center. Not every patient is a surgery-center candidate.

How does Beth Israel Deaconess Medical Center compare with other Massachusetts hospitals?

Beth Israel Deaconess Medical Center's average total payment per Medicare stay is higher than 90% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Beth Israel Deaconess Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $19,208 across 1 insurer.