Hip or knee replacement in Massachusetts
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$40,803typical hospital bill
$16,911typical amount paid
$15,138–$29,796range paid across 39 hospitals
Massachusetts hospitals billed Medicare a typical $40,803 for this stay in 2024, about 2.4 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.