Price AtlasInteractive atlas · All states · techysurgeon.comGarnet Health Medical Center: what a joint replacement costs
Middletown, NY 10940 · CMS Certification Number 330126. 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 Garnet Health Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,409 | $65,987 | 3.2× | $14,472 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $22,975 | $97,469 | 4.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $58,068 | 2.8× | $42,436–$71,205 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Magnacare (rental network) | $74,629 | 3.7× | 1 |
| Cdphp | $71,205 | 3.5× | 1 |
| EmblemHealth | $70,669 | 3.5× | 1 |
| UnitedHealthcare | $59,935 | 2.9× | 1 |
| Cigna | $58,270 | 2.9× | 1 |
| 1199SEIU | $57,867 | 2.8× | 1 |
| Aetna | $57,867 | 2.8× | 1 |
| Geisinger Health Plan | $46,635 | 2.3× | 1 |
| Northwell Direct | $42,436 | 2.1× | 1 |
| Prime Health Services (rental network) | $20,727 | 1.0× | 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: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 450 beds
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Questions
How much does Medicare pay Garnet Health Medical Center for a knee or hip replacement?
In 2024 the average total payment to Garnet Health Medical Center for an inpatient hip or knee replacement stay was $20,409 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,472 per outpatient case (APC 5115, 255 cases).
What is Garnet Health Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,987, 3.2× 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 Garnet Health Medical Center?
Yes for Medicare facility payments. Hudson Valley Ambulatory Surgery, LLC, an orthopedic surgery center 7.5 mi away, is paid about $10,352 by Medicare for a knee replacement (CPT 27447), $10,057 less than an inpatient stay at Garnet Health Medical Center. Not every patient is a surgery-center candidate.
How does Garnet Health Medical Center compare with other New York hospitals?
Garnet Health Medical Center's average total payment per Medicare stay is higher than 61% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Garnet Health Medical Center 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 $58,068 across 8 insurers, ranging from $42,436 to $71,205.