Major hip and knee joint replacement or reattachment of lower extremity without major complications in Massachusetts
What 39 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$43,430
Hospital list price billed
Average payment
$17,888
Medicare + patient + other payers
Medicare paid
$15,137
Average per stay
State rank
#38 of 48
1 = lowest average payment
Hospitals in Massachusetts billed an average of $43,430 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 2.4 times the average total payment of $17,888. That payment is 3% above the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $17,888Billed $43,430
About 41¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| New England Baptist HospitalBoston | 882 | $36,463 | $16,418 | $14,141 |
| Milton HospitalMilton | 330 | $26,351 | $15,289 | $13,672 |
| Southcoast Hospital Group, INCFall River | 203 | $56,416 | $16,911 | $14,087 |
| Beverly Hospital CorporationBeverly | 195 | $22,194 | $16,152 | $13,492 |
| Baystate Medical CenterSpringfield | 192 | $39,655 | $20,083 | $17,424 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 184 | $46,028 | $16,163 | $13,775 |
| Brigham and Women's HosptialBoston | 167 | $85,392 | $23,665 | $18,670 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 157 | $40,803 | $15,804 | $13,742 |
| Newton-Wellesley HospitalNewton Lower Falls | 132 | $46,608 | $17,517 | $14,610 |
| Massachusetts General HospitalBoston | 97 | $82,926 | $24,357 | $18,668 |
| Faulkner HospitalBoston | 88 | $45,547 | $19,074 | $15,458 |
| Beth Israel Deaconess Medical CenterBoston | 81 | $39,399 | $23,807 | $19,886 |
| Anna Jaques HospitalNewburyport | 80 | $24,248 | $15,691 | $13,726 |
| Lahey Clinic HospitalBurlington | 79 | $32,856 | $21,308 | $15,733 |
| Umass Memorial Medical Center INCWorcester | 73 | $89,894 | $23,151 | $19,597 |
| Union HospitalLynn | 67 | $48,737 | $18,242 | $15,264 |
| Winchester HospitalWinchester | 64 | $31,714 | $16,109 | $12,764 |
| Berkshire Medical Center INCPittsfield | 56 | $50,823 | $19,912 | $17,927 |
| Morton Hospital & Medical CenterTaunton | 54 | $35,614 | $15,756 | $13,927 |
| St Vincent HospitalWorcester | 50 | $124,798 | $20,826 | $17,880 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 46 | $46,654 | $15,823 | $14,202 |
| Mount Auburn HospitalCambridge | 45 | $26,689 | $19,315 | $17,368 |
| South Shore HospitalSouth Weymouth | 45 | $30,121 | $16,692 | $12,674 |
| Falmouth HospitalFalmouth | 35 | $42,242 | $15,138 | $13,599 |
| Sturdy Memorial HospitalAttleboro | 29 | $44,956 | $15,538 | $14,075 |
| Cape Cod HospitalHyannis | 29 | $40,148 | $19,442 | $17,802 |
| Boston Medical Center-BrightonBrighton | 27 | $47,804 | $21,739 | $17,894 |
| Tufts Medical CenterBoston | 26 | $54,114 | $24,723 | $18,419 |
| Milford Regional Medical CenterMilford | 23 | $28,685 | $16,386 | $14,766 |
| Cambridge Health AllianceCambridge | 21 | $20,965 | $27,365 | $25,200 |
| Lowell General HospitalLowell | 20 | $32,973 | $17,566 | $12,398 |
| Heywood HospitalGardner | 17 | $40,280 | $15,702 | $14,070 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 16 | $54,001 | $15,385 | $13,957 |
| Boston Medical Center CorporationBoston | 16 | $51,677 | $29,796 | $24,402 |
| Lawrence General HospitalLawrence | 15 | $41,371 | $17,975 | $16,243 |
| Holyoke Medical CenterHolyoke | 15 | $38,895 | $16,103 | $14,471 |
| Nashoba Valley Medical CenterAyer | 15 | $48,551 | $16,553 | $12,340 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 14 | $35,690 | $16,324 | $15,013 |
| Emerson HospitalConcord | 11 | $38,269 | $15,191 | $13,708 |
Lowest and highest payments in Massachusetts
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Falmouth HospitalFalmouth, MA | $15,138 |
|---|---|
| Emerson HospitalConcord, MA | $15,191 |
| Milton HospitalMilton, MA | $15,289 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $15,385 |
| Sturdy Memorial HospitalAttleboro, MA | $15,538 |
Highest
| Boston Medical Center CorporationBoston, MA | $29,796 |
|---|---|
| Cambridge Health AllianceCambridge, MA | $27,365 |
| Tufts Medical CenterBoston, MA | $24,723 |
| Massachusetts General HospitalBoston, MA | $24,357 |
| Beth Israel Deaconess Medical CenterBoston, MA | $23,807 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 39 hospitals in Massachusetts was billed at $43,430 on average, while the average total payment was $17,888, of which Medicare paid $15,137. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Massachusetts, average charges were 2.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.