CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Emerson Hospital -

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,095
about 1.3× the $14,044 Medicare rate · typically $16,365–$25,024
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,445
About the fair price
about $1,650 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $18,095 This hospital $16,445

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $12,252 Priciest $16,850

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,095 (about 1.3× the $14,044 Medicare rate). Emerson Hospital - charges insurers about $16,445 — about the fair price. Located in W Concord, MA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,800 - $16,480 13%
Blue Cross Blue Shieldmajor $5,300 - $16,480 38%
Aetnamajor $13,679 97%
Tufts Health Plan $16,445 117%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 133 Old Road To 9 Acre Corner, W Concord, MA 01742
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals