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Wynn Hospital: what a joint replacement costs

Utica, NY 13502 · CMS Certification Number 330044. 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
$8,500
Apex Surgical Center, 14.1 mi
Outpatient here
$13,511
Medicare allowed amount, 88 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Wynn Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,511
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$19,085$68,7573.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$29,464—$17,357–$34,7145
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
EmblemHealth$34,714—1
UnitedHealthcare$34,714—1
Aetna$29,464—1
Martins Point Us Family Health$17,357—1
Us Family Health Plan$17,357—1

From the hospital's price-transparency file (2026-08-07); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-08-07); commercial plans, dollar-amount contracts only.

Quality

Readmissions: 5.6%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 372 beds

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

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Questions

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

The Medicare allowed amount averaged $13,511 per outpatient hip or knee replacement case (APC 5115, 88 cases) in 2024. Inpatient stays were too few to report.

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

Yes for Medicare facility payments. Apex Surgical Center, an orthopedic surgery center 14.1 mi away, is paid about $8,500 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Wynn 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 $29,464 across 5 insurers, ranging from $17,357 to $34,714.