York, ME 03909 · CMS Certification Number 200020. 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 | — | — | — | $12,213 |
| Shoulder replacement | $17,108 | $88,611 | 5.2× | $17,471 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,676 | — | $14,439–$34,878 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $34,878 | — | 1 |
| Elevance/Anthem/Empire | $34,479 | — | 1 |
| Universal American | $14,872 | — | 1 |
| Humana | $14,439 | — | 1 |
From the hospital's price-transparency file (2026-07-04); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-04); commercial plans, dollar-amount contracts only.
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 79 beds
Maine requires a certificate of need for new surgery centers.
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The Medicare allowed amount averaged $12,213 per outpatient hip or knee replacement case (APC 5115, 79 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. New England Center for Orthopaedic Surgery, an orthopedic surgery center 9.0 mi away, is paid about $9,066 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $24,676 across 4 insurers, ranging from $14,439 to $34,878.