South Weymouth, MA 02190 · CMS Certification Number 220100. 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 | $16,692 | $30,121 | 1.8× | $14,030 |
| Shoulder replacement | — | — | — | $19,718 |
| Hip replacement after a fracture (DRG 522) | $17,729 | $35,306 | 2.0× | — |
Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 284 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid South Shore Hospital an average of $16,692 per inpatient hip or knee replacement stay (MS-DRG 470, 45 stays) and $14,030 per outpatient case (APC 5115, 286 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $30,121, 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. Eastern Massachusetts Surgery Center, LLC, an orthopedic surgery center 12.4 mi away, is paid about $9,758 by Medicare for a knee replacement (CPT 27447), $6,934 less than an inpatient stay at South Shore Hospital. Not every patient is a surgery-center candidate.
Medicare paid South Shore Hospital less than 51% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.