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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,074 | $45,547 | 2.4× | $13,999 |
| Shoulder replacement | $24,727 | $66,855 | 2.7× | $19,966 |
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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In 2024 Medicare paid Brigham and Women's Faulkner Hospital an average of $19,074 per inpatient hip or knee replacement stay (MS-DRG 470, 88 stays) and $13,999 per outpatient case (APC 5115, 552 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,547, 2.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Brigham and Women's Faulkner Hospital more than 64% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.