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Columbia Memorial Hospital: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,785
Medicare allowed amount, 85 cases, APC 5115
Inpatient here
$16,953
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Columbia Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,953$33,7272.0×$13,785
Shoulder replacement———$19,711

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$33,3622.0×$23,190–$37,6234
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
EmblemHealth$37,6232.2×1
Aetna$36,0702.1×1
UnitedHealthcare$30,6541.8×1
Herrington Diversified PDH$23,1901.4×1

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.

Quality

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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Questions

How much does Medicare pay Columbia Memorial Hospital for a knee or hip replacement?

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).

What is Columbia Memorial Hospital's list price for a joint replacement?

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.

How does Columbia Memorial Hospital compare with other New York hospitals?

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.

What do commercial insurers pay Columbia Memorial 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 $33,362 across 4 insurers, ranging from $23,190 to $37,623.