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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Garnet Health Medical Center an average of $20,409 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $14,472 per outpatient case (APC 5115, 255 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,987, 3.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Garnet Health Medical Center more than 61% of the 56 New York hospitals that report inpatient hip or knee replacement.