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Our Lady of Lourdes Memorial Hospital, Inc: what a joint replacement costs

Binghamton, NY 13905 · CMS Certification Number 330011. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,542
Medicare allowed amount, 127 cases, APC 5115
Inpatient here
$17,527
Avg total payment (incl. patient share), 71 Medicare stays, MS-DRG 470

Medicare prices at Our Lady of Lourdes Memorial Hospital, Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,527$63,6333.6×$13,542
Shoulder replacement———$19,711
Hip replacement after a fracture (DRG 522)$19,648$66,7013.4×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 267 beds

New York requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Our Lady of Lourdes Memorial Hospital, Inc for a knee or hip replacement?

In 2024 the average total payment to Our Lady of Lourdes Memorial Hospital, Inc for an inpatient hip or knee replacement stay was $17,527 (MS-DRG 470, 71 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,542 per outpatient case (APC 5115, 127 cases).

What is Our Lady of Lourdes Memorial Hospital, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $63,633, 3.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Our Lady of Lourdes Memorial Hospital, Inc compare with other New York hospitals?

Our Lady of Lourdes Memorial Hospital, Inc's average total payment per Medicare stay is lower than 70% of the 56 New York hospitals that report inpatient hip or knee replacement.