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Sisters of Charity Hospital: what a joint replacement costs

Buffalo, NY 14214 · CMS Certification Number 330078. 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
$9,292
Ambulatory Surgery Center of Western New York LLC, 3.0 mi
Outpatient here
$13,472
Medicare allowed amount, 241 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Sisters of Charity Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,472
Shoulder replacement———$18,116

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$33,955—$17,983–$39,9736
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
EmblemHealth$39,973—1
UnitedHealthcare$36,730—1
UPMC Health Plan$34,636—1
Aetna$33,274—1
Magnacare (rental network)$33,274—1
Fallon Health$17,983—1
Seneca Nation$17,983—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% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 413 beds

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

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Questions

How much does Medicare pay Sisters of Charity Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $13,472 per outpatient hip or knee replacement case (APC 5115, 241 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Sisters of Charity Hospital?

Yes for Medicare facility payments. Ambulatory Surgery Center of Western New York LLC, an orthopedic surgery center 3.0 mi away, is paid about $9,292 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Sisters of Charity Hospital 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 $33,955 across 6 insurers, ranging from $17,983 to $39,973.