Gardner, MA 01440 · CMS Certification Number 220095. 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 | $15,702 | $40,280 | 2.6× | $14,110 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,352 | $42,138 | 2.4× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 134 beds
Massachusetts requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Massachusetts hospitals
In 2024 Medicare paid Heywood Hospital - an average of $15,702 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $14,110 per outpatient case (APC 5115, 57 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,280, 2.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Worcester Surgical Center, Inc, an orthopedic surgery center 23.0 mi away, is paid about $9,380 by Medicare for a knee replacement (CPT 27447), $6,322 less than an inpatient stay at Heywood Hospital -. Not every patient is a surgery-center candidate.
Medicare paid Heywood Hospital - less than 82% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.