Price AtlasInteractive atlas · All states · techysurgeon.comKaleida Health: what a joint replacement costs
Buffalo, NY 14210 · CMS Certification Number 330005. 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.
Medicare prices at Kaleida Health
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,772 | $64,545 | 3.3× | $13,688 |
| Shoulder replacement | — | — | — | $19,318 |
| Hip replacement after a fracture (DRG 522) | $24,393 | $66,545 | 2.7× | — |
Quality
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 986 beds
New York requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Kaleida Health for a knee or hip replacement?
In 2024 the average total payment to Kaleida Health for an inpatient hip or knee replacement stay was $19,772 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,688 per outpatient case (APC 5115, 355 cases).
What is Kaleida Health's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,545, 3.3× the average total payment for a Medicare stay. 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 Kaleida Health?
Yes for Medicare facility payments. Center for Ambulatory Surgery, LLC, an orthopedic surgery center 4.4 mi away, is paid about $9,292 by Medicare for a knee replacement (CPT 27447), $10,480 less than an inpatient stay at Kaleida Health. Not every patient is a surgery-center candidate.
How does Kaleida Health compare with other New York hospitals?
Kaleida Health's average total payment per Medicare stay is higher than 55% of the 56 New York hospitals that report inpatient hip or knee replacement.