Price AtlasInteractive atlas · All states · techysurgeon.comLahey Hospital & Medical Center, Burlington: what a joint replacement costs
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.
Medicare prices at Lahey Hospital & Medical Center, Burlington
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,114 | 1.3× | $18,967–$32,251 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $40,231 | 1.9× | 1 |
| BCBS Massachusetts | $32,251 | 1.5× | 1 |
| Cigna | $28,114 | 1.3× | 1 |
| Elevance/Anthem/Empire | $18,967 | 0.9× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
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
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Questions
How much does Medicare pay Lahey Hospital & Medical Center, Burlington for a knee or hip replacement?
In 2024 the average total payment to Lahey Hospital & Medical Center, Burlington for an inpatient hip or knee replacement stay was $21,308 (MS-DRG 470, 79 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,923 per outpatient case (APC 5115, 199 cases).
What is Lahey Hospital & Medical Center, Burlington's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $32,856, 1.5× 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 Lahey Hospital & Medical Center, Burlington?
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.
How does Lahey Hospital & Medical Center, Burlington compare with other Massachusetts hospitals?
Lahey Hospital & Medical Center, Burlington's average total payment per Medicare stay is higher than 79% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Lahey Hospital & Medical Center, Burlington 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 $28,114 across 3 insurers, ranging from $18,967 to $32,251.