Bridgeport, CT 06606 · CMS Certification Number 070028. 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 | $19,246 | $65,897 | 3.4× | $14,531 |
| Shoulder replacement | $25,330 | $92,783 | 3.7× | $20,939 |
| Hip replacement after a fracture (DRG 522) | $21,335 | $72,338 | 3.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,821 | 1.3× | $22,840–$27,320 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $27,320 | 1.4× | 1 |
| Aetna | $25,642 | 1.3× | 1 |
| Cigna | $24,000 | 1.2× | 1 |
| UnitedHealthcare | $22,840 | 1.2× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 397 beds
Connecticut requires a certificate of need for new surgery centers.
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In 2024 the average total payment to St Vincent's Medical Center for an inpatient hip or knee replacement stay was $19,246 (MS-DRG 470, 42 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,531 per outpatient case (APC 5115, 247 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,897, 3.4× 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. Surgical Center of Connecticut, LLC, the, an orthopedic surgery center same ZIP away, is paid about $9,865 by Medicare for a knee replacement (CPT 27447), $9,381 less than an inpatient stay at St Vincent's Medical Center. Not every patient is a surgery-center candidate.
St Vincent's Medical Center's average total payment per Medicare stay is higher than 67% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $24,821 across 4 insurers, ranging from $22,840 to $27,320.