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United Memorial Medical Center: what a joint replacement costs

Batavia, NY 14020 · CMS Certification Number 330073. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,069
Medicare allowed amount, 14 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at United Memorial Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,069
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,206—$22,182–$43,3783
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Excellus BCBS$43,378—1
Aetna$22,206—1
UnitedHealthcare$22,182—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: 4.7% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 166 beds

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

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Questions

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

The Medicare allowed amount averaged $13,069 per outpatient hip or knee replacement case (APC 5115, 14 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay United Memorial 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 $22,206 across 3 insurers, ranging from $22,182 to $43,378.