Price AtlasInteractive atlas · All states · techysurgeon.comLenox Hill Hospital: what a joint replacement costs
New York, NY 10021 · CMS Certification Number 330119. 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 Lenox Hill Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,238 | $99,541 | 3.8× | $14,530 |
| Shoulder replacement | — | — | — | $19,560 |
| Hip replacement after a fracture (DRG 522) | $25,798 | $130,681 | 5.1× | — |
Quality
Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 652 beds
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Questions
How much does Medicare pay Lenox Hill Hospital for a knee or hip replacement?
In 2024 the average total payment to Lenox Hill Hospital for an inpatient hip or knee replacement stay was $26,238 (MS-DRG 470, 136 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,530 per outpatient case (APC 5115, 61 cases).
What is Lenox Hill Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $99,541, 3.8× 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 Lenox Hill Hospital?
Yes for Medicare facility payments. New York Center for Ambulatory Surgery, an orthopedic surgery center 0.4 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $15,503 less than an inpatient stay at Lenox Hill Hospital. Not every patient is a surgery-center candidate.
How does Lenox Hill Hospital compare with other New York hospitals?
Lenox Hill Hospital's average total payment per Medicare stay is higher than 93% of the 56 New York hospitals that report inpatient hip or knee replacement.