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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $24,852 | $98,544 | 4.0× | $14,903 |
| Shoulder replacement | $31,381 | $130,401 | 4.2× | $21,153 |
| Hip replacement after a fracture (DRG 522) | $28,345 | $146,795 | 5.2× | — |
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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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).
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.
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.
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.