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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,074 | $45,547 | 2.4× | $13,999 |
| Shoulder replacement | $24,727 | $66,855 | 2.7× | $19,966 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $14,404 | 0.8× | $11,070–$17,738 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Tufts Health Plan | $17,738 | 0.9× | 1 |
| Wellsense | $11,070 | 0.6× | 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.
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.
Open the interactive price tagBuild a reportAll Massachusetts hospitals
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).
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.
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.
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.
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.