CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: The Shriners' Hospital for Children - Boston

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,666
about 1.3× the $14,044 Medicare rate · typically $12,948–$30,800
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,252
Below the fair price — a good deal
about $6,414 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $18,666 This hospital $12,252

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Lowest price of the 9 MA hospitals we have prices for — a strong deal.

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 $18,666 (about 1.3× the $14,044 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $12,252 — below the fair price — a good deal. Located in Boston, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $20,205 144%
Aetnamajor $17,618 125%
Ambetter (Centene) $5,926 - $12,227 42%
AmeriHealth $5,926 - $12,252 42%
Providence Health Plan $14,718 105%
+ 2 smaller / regional plans $3,895 - $12,252

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Facility Profile & Credentials

  • Address: 51 Blossom Street, Boston, MA 02114
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens