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St Vincent Hospital: what a joint replacement costs

Worcester, MA 01608 · CMS Certification Number 220176. 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, 2.0 mi
Outpatient here
$13,950
153 Medicare cases, APC 5115
Inpatient here
$20,826
50 Medicare stays, MS-DRG 470

Medicare prices at St Vincent Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,826$124,7986.0×$13,950
Shoulder replacement———$19,966

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 4.4%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 283 beds

Massachusetts requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Vincent Hospital for a knee or hip replacement?

In 2024 Medicare paid St Vincent Hospital an average of $20,826 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $13,950 per outpatient case (APC 5115, 153 cases).

What is St Vincent Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $124,798, 6.0× 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 St Vincent Hospital?

Yes for Medicare facility payments. Worcester Surgical Center, Inc, an orthopedic surgery center 2.0 mi away, is paid about $9,380 by Medicare for a knee replacement (CPT 27447), $11,446 less than an inpatient stay at St Vincent Hospital. Not every patient is a surgery-center candidate.

How does St Vincent Hospital compare with other Massachusetts hospitals?

Medicare paid St Vincent Hospital more than 77% of the 39 Massachusetts hospitals that report inpatient hip or knee replacement.