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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $29,400 | $67,280 | 2.3× | $14,487 |
| Shoulder replacement | — | — | — | $20,491 |
| Hip replacement after a fracture (DRG 522) | $27,277 | $71,563 | 2.6× | — |
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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In 2024 the average total payment to Yale-New Haven Hospital for an inpatient hip or knee replacement stay was $29,400 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,487 per outpatient case (APC 5115, 174 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,280, 2.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Yale-New Haven Hospital's average total payment per Medicare stay is higher than 100% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.