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Yale-New Haven Hospital: what a joint replacement costs

New Haven, CT 06504 · CMS Certification Number 070022. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$9,655
Connecticut Orthopaedic Specialists Pc, 8.0 mi
Outpatient here
$14,487
174 Medicare cases, APC 5115
Inpatient here
$29,400
34 Medicare stays, MS-DRG 470

Medicare prices at Yale-New Haven Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$29,400$67,2802.3×$14,487
Shoulder replacement———$20,491
Hip replacement after a fracture (DRG 522)$27,277$71,5632.6×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 874 beds

Connecticut requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Yale-New Haven Hospital for a knee or hip replacement?

In 2024 Medicare paid Yale-New Haven Hospital an average of $29,400 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $14,487 per outpatient case (APC 5115, 174 cases).

What is Yale-New Haven Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,280, 2.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Yale-New Haven Hospital?

Yes for Medicare facility payments. Connecticut Orthopaedic Specialists Pc, an orthopedic surgery center 8.0 mi away, is paid about $9,655 by Medicare for a knee replacement (CPT 27447), $19,745 less than an inpatient stay at Yale-New Haven Hospital. Not every patient is a surgery-center candidate.

How does Yale-New Haven Hospital compare with other Connecticut hospitals?

Medicare paid Yale-New Haven Hospital more than 100% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.