Revision of Hip or Knee Replacement Without Cc/Mcc in Massachusetts
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$52,252typical hospital bill
$25,185typical amount paid
$21,998–$32,378range paid across 9 hospitals
Massachusetts hospitals billed Medicare a typical $52,252 for this stay in 2024, about 2.1 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 | |
|---|---|---|---|---|---|
| Northeast Hospital Corporation | Beverly | 14 | $27,769 | $21,998 | |
| Lowell General Hospital | Lowell | 12 | $59,119 | $22,630 | |
| New England Baptist Hospital | Boston | 34 | $52,252 | $22,668 | |
| Newton-Wellesley Hospital | Newton | 30 | $48,588 | $24,848 | |
| Brigham and Women Faulkner Hospital | Jamaica Plain | 14 | $48,984 | $25,185 | |
| North Shore Medical Center - | Salem | 12 | $73,270 | $25,927 | |
| Baystate Medical Center | Springfield | 15 | $29,471 | $27,528 | |
| Massachusetts General Hospital | Boston | 18 | $80,173 | $30,161 | |
| Brigham and Women's Hospital | Boston | 22 | $92,539 | $32,378 |
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.