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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
Medicare allowed amount, 110 cases, APC 5115
Inpatient here
$24,723
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Tufts Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,8860.8×$18,481–$43,55111
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Fallon Health$43,5511.8×1
Fallon Health Connectorcare$43,5511.8×1
Elevance/Anthem/Empire$40,0191.6×1
Aetna$24,4141.0×1
BCBS Massachusetts$23,9571.0×1
Middlesex County$20,8860.8×1
Suffolk County$20,8860.8×1
Tewksbury Hospital$20,8860.8×1
Tufts Health Public Plan$20,8860.8×1
Commonwealth Care Alliance$18,5650.8×1
Wellsense Clarity Connectorcare$18,4810.7×1

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: 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 the average total payment to Tufts Medical Center for an inpatient hip or knee replacement stay was $24,723 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?

Tufts Medical Center's average total payment per Medicare stay is higher than 95% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Tufts Medical Center 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 $20,886 across 11 insurers, ranging from $18,481 to $43,551.