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Newton-Wellesley Hospital: what a joint replacement costs

Newton, MA 02462 · CMS Certification Number 220101. 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
Boston Out-Patient Surgical Suites, LLC, 4.8 mi
Outpatient here
$13,980
675 Medicare cases, APC 5115
Inpatient here
$17,517
132 Medicare stays, MS-DRG 470

Medicare prices at Newton-Wellesley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,517$46,6082.7×$13,980
Shoulder replacement$22,889$67,8083.0×$19,966
Hip replacement after a fracture (DRG 522)$19,513$64,1513.3×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 224 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

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

In 2024 Medicare paid Newton-Wellesley Hospital an average of $17,517 per inpatient hip or knee replacement stay (MS-DRG 470, 132 stays) and $13,980 per outpatient case (APC 5115, 675 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,608, 2.7× 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 Newton-Wellesley Hospital?

Yes for Medicare facility payments. Boston Out-Patient Surgical Suites, LLC, an orthopedic surgery center 4.8 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $8,251 less than an inpatient stay at Newton-Wellesley Hospital. Not every patient is a surgery-center candidate.

How does Newton-Wellesley Hospital compare with other Massachusetts hospitals?

Medicare paid Newton-Wellesley Hospital more than 54% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.