Price AtlasInteractive atlas · All states · techysurgeon.comRochester 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.
Medicare prices at Rochester General Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,121 | $45,903 | 2.3× | $13,437 |
| Shoulder replacement | — | — | — | $17,808 |
| Hip replacement after a fracture (DRG 522) | $21,938 | $46,049 | 2.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,731 | 1.2× | $24,111–$25,847 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $25,847 | 1.3× | 1 |
| Highmark BCBS | $24,731 | 1.2× | 1 |
| UnitedHealthcare | $24,111 | 1.2× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay Rochester General Hospital for a knee or hip replacement?
In 2024 the average total payment to Rochester General Hospital for an inpatient hip or knee replacement stay was $20,121 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Rochester General Hospital's average total payment per Medicare stay is higher than 59% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Rochester General Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $24,731 across 3 insurers, ranging from $24,111 to $25,847.