Price AtlasInteractive atlas · All states · techysurgeon.comNew 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.
Medicare prices at New York-Presbyterian Hospital
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
Commercial negotiated rates (beta)
| Payer | Median negotiated, MS-DRG 470 | × Medicare | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $148,737 | 6.0× | 1 |
| EmblemHealth | $109,615 | 4.4× | 1 |
| Cigna | $100,234 | 4.0× | 1 |
| UnitedHealthcare | $91,751 | 3.7× | 2 |
| Aetna | $85,257 | 3.4× | 1 |
| 1199SEIU | $44,054 | 1.8× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay New York-Presbyterian Hospital for a knee or hip replacement?
In 2024 Medicare paid New York-Presbyterian Hospital an average of $24,852 per inpatient hip or knee replacement stay (MS-DRG 470, 304 stays) and $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× what Medicare paid. 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?
Medicare paid New York-Presbyterian Hospital more than 86% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay New York-Presbyterian Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' median negotiated rates for MS-DRG 470 range from $44,054 (1199SEIU) to $148,737 (Elevance/Anthem/Empire).