Albany, NY 12208 · CMS Certification Number 330057. 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 | $16,143 | $50,932 | 3.2× | $13,638 |
| Shoulder replacement | $21,498 | $71,354 | 3.3× | $19,545 |
| Hip replacement after a fracture (DRG 522) | $18,272 | $60,259 | 3.3× | — |
Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 482 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid St Peter's Hospital an average of $16,143 per inpatient hip or knee replacement stay (MS-DRG 470, 44 stays) and $13,638 per outpatient case (APC 5115, 337 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,932, 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. 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), $7,967 less than an inpatient stay at St Peter's Hospital. Not every patient is a surgery-center candidate.
Medicare paid St Peter's Hospital less than 93% of the 56 New York hospitals that report inpatient hip or knee replacement.