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New York-Presbyterian/Queens: what a joint replacement costs

Flushing, NY 11355 · CMS Certification Number 330055. 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
Gsc-Queens, same ZIP
Outpatient here
$14,030
Medicare allowed amount, 29 cases, APC 5115
Inpatient here
$23,332
Avg total payment (incl. patient share), 124 Medicare stays, MS-DRG 470

Medicare prices at New York-Presbyterian/Queens

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$23,332$74,2433.2×$14,030
Shoulder replacement$25,941$79,9423.1×—
Hip replacement after a fracture (DRG 522)$23,292$96,7644.2×—

Quality

Complications after hip or knee replacement: 2% (better than the national rate). Readmissions: 3.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 535 beds

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

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Questions

How much does Medicare pay New York-Presbyterian/Queens for a knee or hip replacement?

In 2024 the average total payment to New York-Presbyterian/Queens for an inpatient hip or knee replacement stay was $23,332 (MS-DRG 470, 124 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,030 per outpatient case (APC 5115, 29 cases).

What is New York-Presbyterian/Queens's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,243, 3.2× 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 New York-Presbyterian/Queens?

Yes for Medicare facility payments. Gsc-Queens, an orthopedic surgery center same ZIP away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $12,597 less than an inpatient stay at New York-Presbyterian/Queens. Not every patient is a surgery-center candidate.

How does New York-Presbyterian/Queens compare with other New York hospitals?

New York-Presbyterian/Queens's average total payment per Medicare stay is higher than 73% of the 56 New York hospitals that report inpatient hip or knee replacement.