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New England Baptist Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,266
Shields Surgery Center, 6.4 mi
Outpatient here
$14,017
Medicare allowed amount, 1432 cases, APC 5115
Inpatient here
$16,418
Avg total payment (incl. patient share), 882 Medicare stays, MS-DRG 470

Medicare prices at New England Baptist Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,418$36,4632.2×$14,017
Shoulder replacement$22,411$57,7642.6×$19,906

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,5621.3×$19,540–$21,5583
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$21,5581.3×1
Elevance/Anthem/Empire$20,5621.3×1
UnitedHealthcare$19,5401.2×1

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: 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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Questions

How much does Medicare pay New England Baptist Hospital for a knee or hip replacement?

In 2024 the average total payment to New England Baptist Hospital for an inpatient hip or knee replacement stay was $16,418 (MS-DRG 470, 882 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,017 per outpatient case (APC 5115, 1432 cases).

What is New England Baptist Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,463, 2.2× 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 New England Baptist Hospital?

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.

How does New England Baptist Hospital compare with other Massachusetts hospitals?

New England Baptist Hospital's average total payment per Medicare stay is lower than 56% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay New England Baptist Hospital 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 $20,562 across 3 insurers, ranging from $19,540 to $21,558.