Price AtlasInteractive atlas · All states · techysurgeon.comHighland Hospital: what a joint replacement costs
Rochester, NY 14617 · CMS Certification Number 330164. 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 Highland Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,759 | $45,610 | 2.3× | $13,523 |
| Shoulder replacement | — | — | — | $19,711 |
| Hip replacement after a fracture (DRG 522) | $20,584 | $48,505 | 2.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,400 | 1.0× | $20,400–$23,578 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $23,578 | 1.2× | 1 |
| Martins Point | $20,400 | 1.0× | 1 |
| Pomco Ins | $20,400 | 1.0× | 1 |
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 262 beds
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Questions
How much does Medicare pay Highland Hospital for a knee or hip replacement?
In 2024 the average total payment to Highland Hospital for an inpatient hip or knee replacement stay was $19,759 (MS-DRG 470, 51 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,523 per outpatient case (APC 5115, 211 cases).
What is Highland Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,610, 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 Highland Hospital?
Yes for Medicare facility payments. Rochester Surgery Center, an orthopedic surgery center 6.8 mi away, is paid about $8,661 by Medicare for a knee replacement (CPT 27447), $11,098 less than an inpatient stay at Highland Hospital. Not every patient is a surgery-center candidate.
How does Highland Hospital compare with other New York hospitals?
Highland Hospital's average total payment per Medicare stay is higher than 54% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Highland 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 $20,400 across 3 insurers, ranging from $20,400 to $23,578.