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Mary Imogene Bassett Hospital: what a joint replacement costs

Cooperstown, NY 13326 · CMS Certification Number 330136. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$14,917
Medicare allowed amount, 39 cases, APC 5115
Inpatient here
$20,008
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Mary Imogene Bassett Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,008$52,9492.6×$14,917
Shoulder replacement———$21,108
Hip replacement after a fracture (DRG 522)$24,044$53,3182.2×—

Quality

Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 180 beds

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

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Questions

How much does Medicare pay Mary Imogene Bassett Hospital for a knee or hip replacement?

In 2024 the average total payment to Mary Imogene Bassett Hospital for an inpatient hip or knee replacement stay was $20,008 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,917 per outpatient case (APC 5115, 39 cases).

What is Mary Imogene Bassett Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,949, 2.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Mary Imogene Bassett Hospital compare with other New York hospitals?

Mary Imogene Bassett Hospital's average total payment per Medicare stay is higher than 57% of the 56 New York hospitals that report inpatient hip or knee replacement.