Nyack, NY 10960 · CMS Certification Number 330104. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,710 | $80,133 | 4.8× | $14,882 |
| Shoulder replacement | — | — | — | $21,153 |
| Hip replacement after a fracture (DRG 522) | $18,525 | $101,742 | 5.5× | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 375 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Nyack Hospital an average of $16,710 per inpatient hip or knee replacement stay (MS-DRG 470, 26 stays) and $14,882 per outpatient case (APC 5115, 121 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,133, 4.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Meta Surgical Associates, LLC, an orthopedic surgery center 6.7 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $5,975 less than an inpatient stay at Nyack Hospital. Not every patient is a surgery-center candidate.
Medicare paid Nyack Hospital less than 88% of the 56 New York hospitals that report inpatient hip or knee replacement.