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South Shore Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,758
Eastern Massachusetts Surgery Center, LLC, 12.4 mi
Outpatient here
$14,030
286 Medicare cases, APC 5115
Inpatient here
$16,692
45 Medicare stays, MS-DRG 470

Medicare prices at South Shore Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,692$30,1211.8×$14,030
Shoulder replacement———$19,718
Hip replacement after a fracture (DRG 522)$17,729$35,3062.0×—

Quality

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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Questions

How much does Medicare pay South Shore Hospital for a knee or hip replacement?

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).

What is South Shore Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near South Shore Hospital?

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.

How does South Shore Hospital compare with other Massachusetts hospitals?

Medicare paid South Shore Hospital less than 51% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.