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Mount Sinai West: what a joint replacement costs

New York, NY 10019 · CMS Certification Number 330046. 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
$10,735
Hss West Side ASC, same ZIP
Outpatient here
$14,289
129 Medicare cases, APC 5115
Inpatient here
$24,680
99 Medicare stays, MS-DRG 470

Medicare prices at Mount Sinai West

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,680$74,0613.0×$14,289
Shoulder replacement$31,534$117,0133.7×$19,812
Hip replacement after a fracture (DRG 522)$28,145$134,1494.8×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1028 beds

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

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Questions

How much does Medicare pay Mount Sinai West for a knee or hip replacement?

In 2024 Medicare paid Mount Sinai West an average of $24,680 per inpatient hip or knee replacement stay (MS-DRG 470, 99 stays) and $14,289 per outpatient case (APC 5115, 129 cases).

What is Mount Sinai West's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,061, 3.0× what Medicare paid. 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 Mount Sinai West?

Yes for Medicare facility payments. Hss West Side ASC, an orthopedic surgery center same ZIP away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $13,945 less than an inpatient stay at Mount Sinai West. Not every patient is a surgery-center candidate.

How does Mount Sinai West compare with other New York hospitals?

Medicare paid Mount Sinai West more than 84% of the 56 New York hospitals that report inpatient hip or knee replacement.