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Danbury Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,865
Orthopaedic & Specialty Surgery Center, same ZIP
Outpatient here
$14,734
212 Medicare cases, APC 5115
Inpatient here
$19,083
21 Medicare stays, MS-DRG 470

Medicare prices at Danbury Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,083$75,2093.9×$14,734
Shoulder replacement———$20,793
Hip replacement after a fracture (DRG 522)$20,311$68,8363.4×—

Quality

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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Questions

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

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).

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

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.

Is a knee replacement cheaper at a surgery center near Danbury Hospital?

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.

How does Danbury Hospital compare with other Connecticut hospitals?

Medicare paid Danbury Hospital less than 50% of the 12 Connecticut hospitals that report inpatient hip or knee replacement.