CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Heywood Hospital -

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,908
about 1.3× the $14,044 Medicare rate · typically $16,350–$24,609
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,386
About the fair price
about $1,522 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $17,908 This hospital $16,386

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 5 charge more and 3 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 $17,908 (about 1.3× the $14,044 Medicare rate). Heywood Hospital - charges insurers about $16,386 — about the fair price. Located in Gardner, 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✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $4,067 29%
Aetnamajor $2,400 - $15,605 17%
Cignamajor $3,060 22%
Harvard Pilgrim $21,968 156%
Tufts Health Plan $3,529 25%
+ 2 smaller / regional plans $15,605 - $16,386

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Facility Profile & Credentials

  • Address: 242 Green Street, Gardner, MA 01440
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals