Boston, MA 02120 · CMS Certification Number 220088. 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 | $16,418 | $36,463 | 2.2× | $14,017 |
| Shoulder replacement | $22,411 | $57,764 | 2.6× | $19,906 |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 3.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 118 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid New England Baptist Hospital an average of $16,418 per inpatient hip or knee replacement stay (MS-DRG 470, 882 stays) and $14,017 per outpatient case (APC 5115, 1432 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,463, 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. Shields Surgery Center, an orthopedic surgery center 6.4 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $7,152 less than an inpatient stay at New England Baptist Hospital. Not every patient is a surgery-center candidate.
Medicare paid New England Baptist Hospital less than 56% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.