Price AtlasInteractive atlas · All states · techysurgeon.comWesterly Hospital: what a joint replacement costs
Westerly, RI 02891 · CMS Certification Number 410013. 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 Westerly Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $13,335 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,457 | — | $12,998–$32,909 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $32,909 | — | 1 |
| Elevance/Anthem/Empire | $26,447 | — | 1 |
| Great West Network | $25,042 | — | 1 |
| Harvard Pilgrim | $22,598 | — | 1 |
| MultiPlan/PHCS (rental network) | $22,299 | — | 1 |
| CtCare | $20,168 | — | 1 |
| UnitedHealthcare | $18,670 | — | 1 |
| Advanced Medical Pricing Solutions (AMPS) | $18,244 | — | 1 |
| ClaimDOC | $18,244 | — | 1 |
| Create Alliance | $18,244 | — | 1 |
| Champus | $14,729 | — | 1 |
| Cigna | $13,339 | — | 1 |
| Tufts Health Plan | $12,998 | — | 1 |
From the hospital's price-transparency file (2026-09-19); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-19); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 116 beds
Rhode Island has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Westerly Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $13,335 per outpatient hip or knee replacement case (APC 5115, 36 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Westerly Hospital?
Yes for Medicare facility payments. Constitution Surgery Center East LLC, an orthopedic surgery center 19.0 mi away, is paid about $9,349 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Westerly 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 $18,457 across 12 insurers, ranging from $12,998 to $32,909.