Revision of hip or knee replacement with complications in Massachusetts
What 13 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$88,827
Hospital list price billed
Average payment
$33,018
Medicare + patient + other payers
Medicare paid
$29,315
Average per stay
State rank
#33 of 41
1 = lowest average payment
Hospitals in Massachusetts billed an average of $88,827 for revision of hip or knee replacement with complications, about 2.7 times the average total payment of $33,018. That payment is 8% above the U.S. average of $30,673.
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 $33,018Billed $88,827
About 37¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: revision of hip or knee replacement with 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 | 117 | $63,651 | $28,597 | $24,459 |
| Brigham and Women's HosptialBoston | 55 | $140,722 | $39,629 | $35,081 |
| Massachusetts General HospitalBoston | 34 | $173,629 | $44,068 | $39,242 |
| Newton-Wellesley HospitalNewton Lower Falls | 33 | $76,281 | $28,735 | $26,995 |
| Milton HospitalMilton | 33 | $80,270 | $28,636 | $27,054 |
| Southcoast Hospital Group, INCFall River | 24 | $105,363 | $28,003 | $24,356 |
| Beverly Hospital CorporationBeverly | 23 | $44,267 | $27,338 | $24,995 |
| Beth Israel Deaconess Medical CenterBoston | 21 | $62,250 | $41,835 | $38,077 |
| Lahey Clinic HospitalBurlington | 19 | $57,061 | $31,292 | $27,084 |
| Boston Medical Center-BrightonBrighton | 14 | $81,234 | $38,445 | $36,130 |
| Union HospitalLynn | 13 | $102,437 | $31,957 | $25,927 |
| Baystate Medical CenterSpringfield | 13 | $54,076 | $34,413 | $29,134 |
| Tufts Medical CenterBoston | 12 | $95,106 | $39,862 | $37,019 |
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
| Beverly Hospital CorporationBeverly, MA | $27,338 |
|---|---|
| Southcoast Hospital Group, INCFall River, MA | $28,003 |
| New England Baptist HospitalBoston, MA | $28,597 |
| Milton HospitalMilton, MA | $28,636 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $28,735 |
Highest
| Massachusetts General HospitalBoston, MA | $44,068 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $41,835 |
| Tufts Medical CenterBoston, MA | $39,862 |
| Brigham and Women's HosptialBoston, MA | $39,629 |
| Boston Medical Center-BrightonBrighton, MA | $38,445 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 13 hospitals in Massachusetts was billed at $88,827 on average, while the average total payment was $33,018, of which Medicare paid $29,315. 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 2.7 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.