Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in Massachusetts
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$110,052typical hospital bill
$35,150typical amount paid
$26,271–$39,529range paid across 4 hospitals
Massachusetts hospitals billed Medicare a typical $110,052 for this stay in 2024, about 3.1 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| New England Baptist Hospital | Boston | 66 | $57,372 | $26,271 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 13 | $47,104 | $31,737 | |
| Brigham and Women's Hospital | Boston | 14 | $162,732 | $38,563 | |
| Massachusetts General Hospital | Boston | 14 | $168,386 | $39,529 |
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.