Nashua, NH 03060 · CMS Certification Number 300011. 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 | $15,095 | $73,486 | 4.9× | $12,662 |
| Shoulder replacement | — | — | — | $18,157 |
| Hip replacement after a fracture (DRG 522) | $15,539 | $70,043 | 4.5× | — |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 4.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 208 beds
New Hampshire has no certificate-of-need law.
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In 2024 Medicare paid St Joseph Hospital an average of $15,095 per inpatient hip or knee replacement stay (MS-DRG 470, 31 stays) and $12,662 per outpatient case (APC 5115, 131 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,486, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Surgery Center of Greater Nashua, an orthopedic surgery center same ZIP away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $6,235 less than an inpatient stay at St Joseph Hospital. Not every patient is a surgery-center candidate.
Medicare paid St Joseph Hospital less than 63% of the 8 New Hampshire hospitals that report inpatient hip or knee replacement.