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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,889 | $89,674 | 4.7× | $13,217 |
| Shoulder replacement | — | — | — | — |
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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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).
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.
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.
Medicare paid Griffin Hospital less than 58% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.