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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $13,472 |
| Shoulder replacement | — | — | — | $18,116 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,955 | — | $17,983–$39,973 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
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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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.
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.
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.