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Umass Memorial Health-Milford Regional Medical Ctr: what a joint replacement costs

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.

Surgery center nearby
$9,266
New England Surgical Suites, 12.4 mi
Outpatient here
$14,040
147 Medicare cases, APC 5115
Inpatient here
$16,386
23 Medicare stays, MS-DRG 470

Medicare prices at Umass Memorial Health-Milford Regional Medical Ctr

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,386$28,6851.8×$14,040
Shoulder replacement———$19,966
Hip replacement after a fracture (DRG 522)$17,534$28,1421.6×—

Quality

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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Questions

How much does Medicare pay Umass Memorial Health-Milford Regional Medical Ctr for a knee or hip replacement?

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).

What is Umass Memorial Health-Milford Regional Medical Ctr's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Umass Memorial Health-Milford Regional Medical Ctr?

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.

How does Umass Memorial Health-Milford Regional Medical Ctr compare with other Massachusetts hospitals?

Medicare paid Umass Memorial Health-Milford Regional Medical Ctr less than 59% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.