Hudson, NY 12534 · CMS Certification Number 330094. 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 | $16,953 | $33,727 | 2.0× | $13,785 |
| Shoulder replacement | — | — | — | $19,711 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,362 | 2.0× | $23,190–$37,623 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| EmblemHealth | $37,623 | 2.2× | 1 |
| Aetna | $36,070 | 2.1× | 1 |
| UnitedHealthcare | $30,654 | 1.8× | 1 |
| Herrington Diversified PDH | $23,190 | 1.4× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 124 beds
New York requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Columbia Memorial Hospital for an inpatient hip or knee replacement stay was $16,953 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,785 per outpatient case (APC 5115, 85 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $33,727, 2.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Columbia Memorial Hospital's average total payment per Medicare stay is lower than 82% of the 56 New York hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $33,362 across 4 insurers, ranging from $23,190 to $37,623.