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Tufts Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,266
Shields Surgery Center, 5.6 mi
Outpatient here
$13,769
110 Medicare cases, APC 5115
Inpatient here
$24,723
26 Medicare stays, MS-DRG 470

Medicare prices at Tufts Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,723$54,1142.2×$13,769
Shoulder replacement———$19,333
Hip replacement after a fracture (DRG 522)$25,036$54,5432.2×—

Quality

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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Questions

How much does Medicare pay Tufts Medical Center for a knee or hip replacement?

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).

What is Tufts Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Tufts Medical Center?

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.

How does Tufts Medical Center compare with other Massachusetts hospitals?

Medicare paid Tufts Medical Center more than 95% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.