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Umass 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.

Surgery center nearby
$9,380
Worcester Surgical Center, Inc, 1.7 mi
Outpatient here
$13,796
187 Medicare cases, APC 5115
Inpatient here
$23,151
73 Medicare stays, MS-DRG 470

Medicare prices at Umass Memorial Medical Center Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,151$89,8943.9×$13,796
Shoulder replacement$32,324$127,6994.0×$19,966
Hip replacement after a fracture (DRG 522)$25,678$92,2293.6×—

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

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Umass Memorial Medical Center Inc for a knee or hip replacement?

In 2024 Medicare paid Umass Memorial Medical Center Inc an average of $23,151 per inpatient hip or knee replacement stay (MS-DRG 470, 73 stays) and $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× what Medicare paid. 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?

Medicare paid Umass Memorial Medical Center Inc more than 85% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.