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Brigham and Women's Hospital: what a joint replacement costs

Boston, MA 02115 · CMS Certification Number 220110. 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, 5.9 mi
Outpatient here
$13,866
194 Medicare cases, APC 5115
Inpatient here
$23,665
167 Medicare stays, MS-DRG 470

Medicare prices at Brigham and Women's Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,665$85,3923.6×$13,866
Shoulder replacement$29,291$120,9684.1×$19,410
Hip replacement after a fracture (DRG 522)$26,753$117,0204.4×—

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 663 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Brigham and Women's Hospital for a knee or hip replacement?

In 2024 Medicare paid Brigham and Women's Hospital an average of $23,665 per inpatient hip or knee replacement stay (MS-DRG 470, 167 stays) and $13,866 per outpatient case (APC 5115, 194 cases).

What is Brigham and Women's Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,392, 3.6× 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 Brigham and Women's Hospital?

Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 5.9 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $14,399 less than an inpatient stay at Brigham and Women's Hospital. Not every patient is a surgery-center candidate.

How does Brigham and Women's Hospital compare with other Massachusetts hospitals?

Medicare paid Brigham and Women's Hospital more than 87% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.