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Rochester General Hospital: what a joint replacement costs

Rochester, NY 14621 · CMS Certification Number 330125. 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
$8,661
Rochester Surgery Center, 4.3 mi
Outpatient here
$13,437
65 Medicare cases, APC 5115
Inpatient here
$20,121
23 Medicare stays, MS-DRG 470

Medicare prices at Rochester General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,121$45,9032.3×$13,437
Shoulder replacement———$17,808
Hip replacement after a fracture (DRG 522)$21,938$46,0492.1×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 7.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 528 beds

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

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Questions

How much does Medicare pay Rochester General Hospital for a knee or hip replacement?

In 2024 Medicare paid Rochester General Hospital an average of $20,121 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $13,437 per outpatient case (APC 5115, 65 cases).

What is Rochester General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,903, 2.3× 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 Rochester General Hospital?

Yes for Medicare facility payments. Rochester Surgery Center, an orthopedic surgery center 4.3 mi away, is paid about $8,661 by Medicare for a knee replacement (CPT 27447), $11,460 less than an inpatient stay at Rochester General Hospital. Not every patient is a surgery-center candidate.

How does Rochester General Hospital compare with other New York hospitals?

Medicare paid Rochester General Hospital more than 59% of the 56 New York hospitals that report inpatient hip or knee replacement.