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York Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,066
New England Center for Orthopaedic Surgery, 9.0 mi
Outpatient here
$12,213
Medicare allowed amount, 79 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at York Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,213
Shoulder replacement$17,108$88,6115.2×$17,471

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,676—$14,439–$34,8784
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
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.

Quality

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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Questions

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

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.

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

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.

What do commercial insurers pay York Hospital for a hip or knee replacement?

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.