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Catholic Medical Center: what a joint replacement costs

Manchester, NH 03102 · CMS Certification Number 300034. 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
$8,860
Ambulatory Surgery Center, 2.6 mi
Outpatient here
$12,510
Medicare allowed amount, 104 cases, APC 5115
Inpatient here
$14,322
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Catholic Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,322$87,7556.1×$12,510
Shoulder replacement———$18,157
Hip replacement after a fracture (DRG 522)$15,787$70,9464.5×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 330 beds

New Hampshire has no certificate-of-need law.

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Questions

How much does Medicare pay Catholic Medical Center for a knee or hip replacement?

In 2024 the average total payment to Catholic Medical Center for an inpatient hip or knee replacement stay was $14,322 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,510 per outpatient case (APC 5115, 104 cases).

What is Catholic Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,755, 6.1× 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 Catholic Medical Center?

Yes for Medicare facility payments. Ambulatory Surgery Center, an orthopedic surgery center 2.6 mi away, is paid about $8,860 by Medicare for a knee replacement (CPT 27447), $5,462 less than an inpatient stay at Catholic Medical Center. Not every patient is a surgery-center candidate.

How does Catholic Medical Center compare with other New Hampshire hospitals?

Catholic Medical Center's average total payment per Medicare stay is lower than 75% of the 8 New Hampshire hospitals that report inpatient hip or knee replacement.