Milford, MA 01757 · CMS Certification Number 220090. 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 | $16,386 | $28,685 | 1.8× | $14,040 |
| Shoulder replacement | — | — | — | $19,966 |
| Hip replacement after a fracture (DRG 522) | $17,534 | $28,142 | 1.6× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 121 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Umass Memorial Health-Milford Regional Medical Ctr an average of $16,386 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $14,040 per outpatient case (APC 5115, 147 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $28,685, 1.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. New England Surgical Suites, an orthopedic surgery center 12.4 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $7,120 less than an inpatient stay at Umass Memorial Health-Milford Regional Medical Ctr. Not every patient is a surgery-center candidate.
Medicare paid Umass Memorial Health-Milford Regional Medical Ctr less than 59% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.