Danbury, CT 06810 · CMS Certification Number 070033. 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 | $19,083 | $75,209 | 3.9× | $14,734 |
| Shoulder replacement | — | — | — | $20,793 |
| Hip replacement after a fracture (DRG 522) | $20,311 | $68,836 | 3.4× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 345 beds
Connecticut requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Danbury Hospital an average of $19,083 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $14,734 per outpatient case (APC 5115, 212 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,209, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Orthopaedic & Specialty Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,865 by Medicare for a knee replacement (CPT 27447), $9,218 less than an inpatient stay at Danbury Hospital. Not every patient is a surgery-center candidate.
Medicare paid Danbury Hospital less than 50% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.