Burlington, MA 01803 · CMS Certification Number 220171. 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 | $21,308 | $32,856 | 1.5× | $13,923 |
| Shoulder replacement | $26,441 | $46,952 | 1.8× | $19,966 |
| Hip replacement after a fracture (DRG 522) | $22,033 | $42,258 | 1.9× | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 327 beds
Massachusetts requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Lahey Hospital & Medical Center, Burlington an average of $21,308 per inpatient hip or knee replacement stay (MS-DRG 470, 79 stays) and $13,923 per outpatient case (APC 5115, 199 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $32,856, 1.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Northeast Ambulatory Center, Inc, an orthopedic surgery center 5.7 mi away, is paid about $9,266 by Medicare for a knee replacement (CPT 27447), $12,042 less than an inpatient stay at Lahey Hospital & Medical Center, Burlington. Not every patient is a surgery-center candidate.
Medicare paid Lahey Hospital & Medical Center, Burlington more than 79% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.