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Albany Medical Center Hospital: what a joint replacement costs

Albany, NY 12208 · CMS Certification Number 330013. 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
$8,176
Capital Region Ambulatory Surgery Center, 2.0 mi
Outpatient here
$13,833
Medicare allowed amount, 127 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Albany Medical Center Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,833
Shoulder replacement———$19,179
Hip replacement after a fracture (DRG 522)$22,479$66,1792.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$55,466—$40,141–$59,5613
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$59,561—1
Aetna$55,466—1
Cdphp$40,141—1

From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 732 beds

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

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Questions

How much does Medicare pay Albany Medical Center Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $13,833 per outpatient hip or knee replacement case (APC 5115, 127 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Albany Medical Center Hospital?

Yes for Medicare facility payments. Capital Region Ambulatory Surgery Center, an orthopedic surgery center 2.0 mi away, is paid about $8,176 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Albany Medical Center 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 $55,466 across 3 insurers, ranging from $40,141 to $59,561.