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Winchester Hospital: what a joint replacement costs

Winchester, MA 01890 · CMS Certification Number 220105. 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
Shields Surgery Center, 2.7 mi
Outpatient here
$14,022
Medicare allowed amount, 283 cases, APC 5115
Inpatient here
$16,109
Avg total payment (incl. patient share), 64 Medicare stays, MS-DRG 470

Medicare prices at Winchester Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,109$31,7142.0×$14,022
Shoulder replacement———$19,966
Hip replacement after a fracture (DRG 522)$16,599$32,6662.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,8421.1×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$17,8421.1×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 189 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Winchester Hospital for an inpatient hip or knee replacement stay was $16,109 (MS-DRG 470, 64 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,022 per outpatient case (APC 5115, 283 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $31,714, 2.0× 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 Winchester Hospital?

Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 2.7 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $6,843 less than an inpatient stay at Winchester Hospital. Not every patient is a surgery-center candidate.

How does Winchester Hospital compare with other Massachusetts hospitals?

Winchester Hospital's average total payment per Medicare stay is lower than 69% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Winchester Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $17,842 across 1 insurer.