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Griffin Hospital: what a joint replacement costs

Derby, CT 06418 · CMS Certification Number 070031. 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
$9,865
Surgery Center of Fairfield County, 7.7 mi
Outpatient here
$13,217
25 Medicare cases, APC 5115
Inpatient here
$18,889
110 Medicare stays, MS-DRG 470

Medicare prices at Griffin Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,889$89,6744.7×$13,217
Shoulder replacement————

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 160 beds

Connecticut requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Griffin Hospital for a knee or hip replacement?

In 2024 Medicare paid Griffin Hospital an average of $18,889 per inpatient hip or knee replacement stay (MS-DRG 470, 110 stays) and $13,217 per outpatient case (APC 5115, 25 cases).

What is Griffin Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $89,674, 4.7× 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 Griffin Hospital?

Yes for Medicare facility payments. Surgery Center of Fairfield County, an orthopedic surgery center 7.7 mi away, is paid about $9,865 by Medicare for a knee replacement (CPT 27447), $9,024 less than an inpatient stay at Griffin Hospital. Not every patient is a surgery-center candidate.

How does Griffin Hospital compare with other Connecticut hospitals?

Medicare paid Griffin Hospital less than 58% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.