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Heywood Hospital -: what a joint replacement costs

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.

Surgery center nearby
$9,380
Worcester Surgical Center, Inc, 23.0 mi
Outpatient here
$14,110
Medicare allowed amount, 57 cases, APC 5115
Inpatient here
$15,702
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Heywood Hospital -

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,702$40,2802.6×$14,110
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,352$42,1382.4×—

Quality

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.

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Questions

How much does Medicare pay Heywood Hospital - for a knee or hip replacement?

In 2024 the average total payment to Heywood Hospital - for an inpatient hip or knee replacement stay was $15,702 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,110 per outpatient case (APC 5115, 57 cases).

What is Heywood Hospital -'s list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,280, 2.6× 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 Heywood Hospital -?

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.

How does Heywood Hospital - compare with other Massachusetts hospitals?

Heywood Hospital -'s average total payment per Medicare stay is lower than 82% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.