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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,332 | $74,243 | 3.2× | $14,030 |
| Shoulder replacement | $25,941 | $79,942 | 3.1× | — |
| Hip replacement after a fracture (DRG 522) | $23,292 | $96,764 | 4.2× | — |
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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In 2024 Medicare paid New York-Presbyterian/Queens an average of $23,332 per inpatient hip or knee replacement stay (MS-DRG 470, 124 stays) and $14,030 per outpatient case (APC 5115, 29 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,243, 3.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid New York-Presbyterian/Queens more than 73% of the 56 New York hospitals that report inpatient hip or knee replacement.