Price AtlasInteractive atlas · All states · techysurgeon.comUmass Memorial Medical Center Inc: what a joint replacement costs
Worcester, MA 01655 · CMS Certification Number 220163. 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.
Medicare prices at Umass Memorial Medical Center Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,151 | $89,894 | 3.9× | $13,796 |
| Shoulder replacement | $32,324 | $127,699 | 4.0× | $19,966 |
| Hip replacement after a fracture (DRG 522) | $25,678 | $92,229 | 3.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $44,691 | 1.9× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $44,691 | 1.9× | 1 |
From the hospital's price-transparency file (2026-03-26); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-26); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 325 beds
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Questions
How much does Medicare pay Umass Memorial Medical Center Inc for a knee or hip replacement?
In 2024 the average total payment to Umass Memorial Medical Center Inc for an inpatient hip or knee replacement stay was $23,151 (MS-DRG 470, 73 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,796 per outpatient case (APC 5115, 187 cases).
What is Umass Memorial Medical Center Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $89,894, 3.9× 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 Umass Memorial Medical Center Inc?
Yes for Medicare facility payments. Worcester Surgical Center, Inc, an orthopedic surgery center 1.7 mi away, is paid about $9,380 by Medicare for a knee replacement (CPT 27447), $13,771 less than an inpatient stay at Umass Memorial Medical Center Inc. Not every patient is a surgery-center candidate.
How does Umass Memorial Medical Center Inc compare with other Massachusetts hospitals?
Umass Memorial Medical Center Inc's average total payment per Medicare stay is higher than 85% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Umass Memorial Medical Center Inc 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 $44,691 across 1 insurer.