Price AtlasInteractive atlas · All states · techysurgeon.comSt Joseph Hospital: what a joint replacement costs
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.
Medicare prices at St Joseph Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,262 | 2.1× | $22,265–$40,260 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $40,260 | 2.7× | 1 |
| UnitedHealthcare | $22,265 | 1.5× | 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: 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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Questions
How much does Medicare pay St Joseph Hospital for a knee or hip replacement?
In 2024 the average total payment to St Joseph Hospital for an inpatient hip or knee replacement stay was $15,095 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,662 per outpatient case (APC 5115, 131 cases).
What is St Joseph Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,486, 4.9× 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 St Joseph Hospital?
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.
How does St Joseph Hospital compare with other New Hampshire hospitals?
St Joseph Hospital's average total payment per Medicare stay is lower than 63% of the 8 New Hampshire hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Joseph Hospital 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 $31,262 across 2 insurers, ranging from $22,265 to $40,260.