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Montefiore Medical Center: what a joint replacement costs

Bronx, NY 10467 · CMS Certification Number 330059. 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
Empire State Ambulatory Surgery Center , same ZIP
Outpatient here
$14,435
Medicare allowed amount, 36 cases, APC 5115
Inpatient here
$31,015
Avg total payment (incl. patient share), 186 Medicare stays, MS-DRG 470

Medicare prices at Montefiore Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$31,015$121,5703.9×$14,435
Shoulder replacement$33,303$162,3694.9×—
Hip replacement after a fracture (DRG 522)$29,625$162,1765.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,8040.5×$15,071–$18,5372
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
EmblemHealth$18,5370.6×1
Point Comfort$15,0710.5×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 1491 beds

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

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Questions

How much does Medicare pay Montefiore Medical Center for a knee or hip replacement?

In 2024 the average total payment to Montefiore Medical Center for an inpatient hip or knee replacement stay was $31,015 (MS-DRG 470, 186 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,435 per outpatient case (APC 5115, 36 cases).

What is Montefiore Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $121,570, 3.9× 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 Montefiore Medical Center?

Yes for Medicare facility payments. Empire State Ambulatory Surgery Center , an orthopedic surgery center same ZIP away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $20,280 less than an inpatient stay at Montefiore Medical Center. Not every patient is a surgery-center candidate.

How does Montefiore Medical Center compare with other New York hospitals?

Montefiore Medical Center's average total payment per Medicare stay is higher than 100% of the 56 New York hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Montefiore Medical Center 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 $16,804 across 2 insurers, ranging from $15,071 to $18,537.