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Garnet 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.

Surgery center nearby
$10,352
Hudson Valley Ambulatory Surgery, LLC, 7.5 mi
Outpatient here
$14,472
255 Medicare cases, APC 5115
Inpatient here
$20,409
35 Medicare stays, MS-DRG 470

Medicare prices at Garnet Health Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,409$65,9873.2×$14,472
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$22,975$97,4694.2×—

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 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).

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× 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 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?

Medicare paid Garnet Health Medical Center more than 61% of the 56 New York hospitals that report inpatient hip or knee replacement.