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

Boston, MA 02130 · CMS Certification Number 220119. 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
$9,758
New England Baptist Surgery Center, LLC , 5.4 mi
Outpatient here
$13,999
Medicare allowed amount, 552 cases, APC 5115
Inpatient here
$19,074
Avg total payment (incl. patient share), 88 Medicare stays, MS-DRG 470

Medicare prices at Brigham and Women's Faulkner Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,074$45,5472.4×$13,999
Shoulder replacement$24,727$66,8552.7×$19,966

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$14,4040.8×$11,070–$17,7382
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Tufts Health Plan$17,7380.9×1
Wellsense$11,0700.6×1

From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-27); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 153 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 Faulkner Hospital for a knee or hip replacement?

In 2024 the average total payment to Brigham and Women's Faulkner Hospital for an inpatient hip or knee replacement stay was $19,074 (MS-DRG 470, 88 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,999 per outpatient case (APC 5115, 552 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,547, 2.4× 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 Brigham and Women's Faulkner Hospital?

Yes for Medicare facility payments. New England Baptist Surgery Center, LLC , an orthopedic surgery center 5.4 mi away, is paid about $9,758 by Medicare for a knee replacement (CPT 27447), $9,316 less than an inpatient stay at Brigham and Women's Faulkner Hospital. Not every patient is a surgery-center candidate.

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

Brigham and Women's Faulkner Hospital's average total payment per Medicare stay is higher than 64% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Brigham and Women's Faulkner Hospital 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 $14,404 across 2 insurers, ranging from $11,070 to $17,738.