CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lahey Hospital & Medical Center, Burlington

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,212
about 1.3× the $14,044 Medicare rate · typically $16,258–$25,799
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,317
About the fair price
about $2,105 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $18,212 This hospital $20,317

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $12,252 Priciest $20,317

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 $18,212 (about 1.3× the $14,044 Medicare rate). Lahey Hospital & Medical Center, Burlington charges insurers about $20,317 — about the fair price. Located in Burlington, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $20,317 - $32,251 145%
Aetnamajor $20,317 145%
Cignamajor $28,114 200%
UniCare $18,967 135%
+ 1 smaller / regional plan $20,317

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 41 & 45 Mall Road, Burlington, MA 01803
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals