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Rochester Surgery Center: surgery-center prices

An orthopedic ambulatory surgery center in Rochester, NY 14620. What Medicare pays here for knee, hip and shoulder replacement, and how that compares with the hospitals nearby.

Knee (CPT 27447)
$8,661
Medicare rate here
Hip (CPT 27130)
$8,842
Medicare rate here
Shoulder (CPT 23472)
$13,392
Medicare rate here

Nearest hospitals

HospitalDistanceInpatient paidOutpatient allowedList price
Rochester General Hospital4.3 mi$20,121$13,437$45,903
Highland Hospital6.8 mi$19,759$13,523$45,610
Unity Hospital of Rochester8.0 mi$18,194$13,578$36,464

6 operating rooms · Proprietary · certified since 2013 · ASC-17 hospital visits after orthopedic surgery: 1.9% (No Different Than the National Rate)

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Questions

How much does Medicare pay Rochester Surgery Center for a knee replacement?

About $8,661 for a total knee replacement (CPT 27447), $8,842 for a total hip (CPT 27130) and $13,392 for a total shoulder (CPT 23472): Medicare's CY2024 national surgery-center rates adjusted by the local wage index (0.9143).

How does that compare with the nearest hospital?

Rochester General Hospital (4.3 mi) was paid an average of $20,121 per inpatient hip or knee replacement stay in 2024, $11,460 more than this surgery center's knee rate.

Does New York require a certificate of need for surgery centers?

New York requires a certificate of need for new surgery centers.