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Knee replacement in Massachusetts: what insurers pay

Posted commercial rates at 13 Massachusetts hospitals, each next to its own Medicare base rate.

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CPT 27447

HospitalMedian across insurers× MedicareInsurersFile date
South Shore Hospital South Weymouth$12,2520.8×12026-04-01
Emerson Hospital - W Concord$15,9281.0×12026-05-18
Winchester Hospital Winchester$17,1771.1×32026-04-01
Beverly Hospital Corporation Beverly$19,2061.3×22026-04-01
New England Baptist Hospital Boston$20,5231.3×42026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$20,5461.3×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$20,6321.3×12026-04-01
Anna Jaques Hospital Newburyport$20,6841.3×32026-04-01
Mount Auburn Hospital Cambridge$20,9261.4×12026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$22,1211.4×22026-04-01
Beth Israel Deaconess Medical Center Boston$23,1561.5×22026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$13,6790.8×12026-05-18
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
Beverly Hospital Corporation Beverly$17,8421.1×12026-04-01
Winchester Hospital Winchester$17,8421.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$19,2081.1×22026-04-01
New England Baptist Hospital Boston$20,5621.2×32026-04-01
Lowell General Hospital Lowell$24,0551.4×32026-04-01
Tufts Medical Center Boston$24,4141.5×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$28,1141.7×42026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$21,5100.8×12026-05-18
Anna Jaques Hospital Newburyport$22,7850.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$23,4590.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$25,8611.0×12026-04-01
Mount Auburn Hospital Cambridge$26,8651.0×12026-04-01
Beverly Hospital Corporation Beverly$28,0571.1×12026-04-01
Winchester Hospital Winchester$28,0571.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$30,2051.1×22026-04-01
New England Baptist Hospital Boston$32,3341.2×32026-04-01
Lowell General Hospital Lowell$37,8271.4×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$44,2091.7×42026-04-01
Tufts Medical Center Boston$49,8431.9×42026-04-01

Questions

How much do insurers pay for knee replacement in Massachusetts?

13 Massachusetts hospitals post usable commercial rates for knee replacement in their federal price-transparency files. For CPT 27447, hospital outpatient, the median across 11 hospitals is $20,546, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.