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New York-Presbyterian Hospital: what a joint replacement costs

New York, NY 10065 · CMS Certification Number 330101. 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
$10,735
New York Center for Ambulatory Surgery, same ZIP
Outpatient here
$14,903
Medicare allowed amount, 596 cases, APC 5115
Inpatient here
$24,852
Avg total payment (incl. patient share), 304 Medicare stays, MS-DRG 470

Medicare prices at New York-Presbyterian Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$24,852$98,5444.0×$14,903
Shoulder replacement$31,381$130,4014.2×$21,153
Hip replacement after a fracture (DRG 522)$28,345$146,7955.2×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 2262 beds

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

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Questions

How much does Medicare pay New York-Presbyterian Hospital for a knee or hip replacement?

In 2024 the average total payment to New York-Presbyterian Hospital for an inpatient hip or knee replacement stay was $24,852 (MS-DRG 470, 304 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,903 per outpatient case (APC 5115, 596 cases).

What is New York-Presbyterian Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,544, 4.0× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near New York-Presbyterian Hospital?

Yes for Medicare facility payments. New York Center for Ambulatory Surgery, an orthopedic surgery center same ZIP away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $14,117 less than an inpatient stay at New York-Presbyterian Hospital. Not every patient is a surgery-center candidate.

How does New York-Presbyterian Hospital compare with other New York hospitals?

New York-Presbyterian Hospital's average total payment per Medicare stay is higher than 86% of the 56 New York hospitals that report inpatient hip or knee replacement.