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Hip replacement in Massachusetts: what insurers pay

Posted commercial rates at 26 Massachusetts hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Mercy Medical Ctr Springfield$10,1540.7×272026-03-31
South Shore Hospital South Weymouth$14,7231.0×22026-04-01
Beth Israel Deaconess Hospital-Milton Inc Milton$16,9581.1×22026-04-01
Winchester Hospital Winchester$17,0821.1×42026-04-01
Umass Memorial Health-Milford Regional Medical Ctr Milford$17,1501.1×22026-04-01
Emerson Hospital - W Concord$17,7901.2×32026-05-18
Beth Israel Deaconess Hospital - Needham Needham$18,3531.2×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$18,6921.2×22026-04-01
Mount Auburn Hospital Cambridge$18,7431.2×22026-04-01
Signature Healthcare Brockton Hospital Brockton$18,9371.2×42026-01-28
Lahey Hospital & Medical Center, Burlington Burlington$19,6081.3×32026-04-01
Beverly Hospital Corporation Beverly$19,9281.3×32026-04-01
Anna Jaques Hospital Newburyport$20,6841.3×32026-04-01
New England Baptist Hospital Boston$20,6841.3×52026-04-01
Beth Israel Deaconess Medical Center Boston$20,7131.4×22026-04-01
Umass Memorial Medical Center Inc Worcester$22,6181.5×22026-03-26

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$13,6790.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$13,7520.8×22026-04-01
Brigham and Women's Faulkner Hospital Boston$14,4040.9×22026-03-27
Anna Jaques Hospital Newburyport$14,4900.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$14,9180.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$16,4461.0×12026-04-01
Mount Auburn Hospital Cambridge$17,0841.0×12026-04-01
Lowell General Hospital Lowell$17,6341.1×112026-04-01
Beverly Hospital Corporation Beverly$17,8421.1×12026-04-01
Winchester Hospital Winchester$17,8421.1×12026-04-01
Brigham and Women's Hospital Boston$18,3611.1×22026-03-27
Shriners' Hospital For Children - Boston, The Boston$18,9121.1×22026-03-17
Holyoke Medical Center Holyoke$19,1421.1×62026-05-01
Beth Israel Deaconess Medical Center Boston$19,2081.1×22026-04-01
New England Baptist Hospital Boston$20,5621.2×32026-04-01
Tufts Medical Center Boston$20,8861.3×112026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$22,7881.4×32026-03-25
Fairview Hospital Great Barrington$26,3261.6×12026-03-25
North Adams Regional Hospital North Adams$26,3261.6×12026-03-25
Signature Healthcare Brockton Hospital Brockton$27,3351.6×42026-01-28
Lahey Hospital & Medical Center, Burlington Burlington$28,1141.7×42026-04-01
Massachusetts General Hospital Boston$29,0711.7×32026-03-27
Umass Memorial Health-Milford Regional Medical Ctr Milford$30,7651.8×12026-04-01
Mercy Medical Ctr Springfield$35,9842.1×82026-03-31
Umass Memorial Medical Center Inc Worcester$44,6912.7×12026-03-26

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$21,5100.8×12026-05-18
Beth Israel Deaconess Hospital-Milton Inc Milton$21,6260.8×22026-04-01
Anna Jaques Hospital Newburyport$22,7850.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$23,4590.9×22026-04-01
Massachusetts General Hospital Boston$25,6531.0×32026-03-27
Beth Israel Deaconess Hospital - Plymouth Plymouth$25,8611.0×12026-04-01
Mount Auburn Hospital Cambridge$26,8651.0×12026-04-01
Brigham and Women's Faulkner Hospital Boston$27,0461.0×22026-03-27
Beverly Hospital Corporation Beverly$28,0571.1×12026-04-01
Winchester Hospital Winchester$28,0571.1×12026-04-01
Brigham and Women's Hospital Boston$29,6411.1×32026-03-27
Holyoke Medical Center Holyoke$29,9361.1×62026-05-01
Beth Israel Deaconess Medical Center Boston$30,2051.1×22026-04-01
Tufts Medical Center Boston$30,6141.2×122026-04-01
Lowell General Hospital Lowell$31,8841.2×112026-04-01
New England Baptist Hospital Boston$32,3341.2×32026-04-01
Berkshire Medical Center Inc - 1 Pittsfield$35,8341.4×32026-03-25
Signature Healthcare Brockton Hospital Brockton$38,3471.5×42026-01-28
Fairview Hospital Great Barrington$41,3971.6×12026-03-25
North Adams Regional Hospital North Adams$41,3971.6×12026-03-25
Lahey Hospital & Medical Center, Burlington Burlington$44,2091.7×42026-04-01
Umass Memorial Medical Center Inc Worcester$44,6911.7×12026-03-26
Mercy Medical Ctr Springfield$50,0041.9×92026-03-31

Questions

How much do insurers pay for hip replacement in Massachusetts?

26 Massachusetts hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 16 hospitals is $18,718, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.