Boston, MA 02111 · CMS Certification Number 220116. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $24,723 | $54,114 | 2.2× | $13,769 |
| Shoulder replacement | — | — | — | $19,333 |
| Hip replacement after a fracture (DRG 522) | $25,036 | $54,543 | 2.2× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 415 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Tufts Medical Center an average of $24,723 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $13,769 per outpatient case (APC 5115, 110 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,114, 2.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Shields Surgery Center, an orthopedic surgery center 5.6 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $15,457 less than an inpatient stay at Tufts Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Tufts Medical Center more than 95% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.