Milton, MA 02186 · CMS Certification Number 220108. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,289 | $26,351 | 1.7× | — |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,028 | $33,348 | 2.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $13,752 | 0.9× | $13,238–$14,266 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $14,266 | 0.9× | 1 |
| Aetna | $13,238 | 0.9× | 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.
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 81 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Beth Israel Deaconess Hospital-Milton Inc for an inpatient hip or knee replacement stay was $15,289 (MS-DRG 470, 330 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $26,351, 1.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. New England Baptist Surgery Center, LLC , an orthopedic surgery center 5.0 mi away, is paid about $9,758 by Medicare for a knee replacement (CPT 27447), $5,531 less than an inpatient stay at Beth Israel Deaconess Hospital-Milton Inc. Not every patient is a surgery-center candidate.
Beth Israel Deaconess Hospital-Milton Inc's average total payment per Medicare stay is lower than 92% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $13,752 across 2 insurers, ranging from $13,238 to $14,266.