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Mount Sinai Beth Israel: what a joint replacement costs

New York, NY 10003 · CMS Certification Number 330169. 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
$10,735
Gramercy Surgery Center Inc, 0.6 mi
Outpatient here
$14,797
Medicare allowed amount, 11 cases, APC 5115
Inpatient here
$23,380
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Mount Sinai Beth Israel

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$23,380$102,7244.4×$14,797
Shoulder replacement————

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 1111 beds

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

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Questions

How much does Medicare pay Mount Sinai Beth Israel for a knee or hip replacement?

In 2024 the average total payment to Mount Sinai Beth Israel for an inpatient hip or knee replacement stay was $23,380 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,797 per outpatient case (APC 5115, 11 cases).

What is Mount Sinai Beth Israel's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,724, 4.4× 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 Mount Sinai Beth Israel?

Yes for Medicare facility payments. Gramercy Surgery Center Inc, an orthopedic surgery center 0.6 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $12,645 less than an inpatient stay at Mount Sinai Beth Israel. Not every patient is a surgery-center candidate.

How does Mount Sinai Beth Israel compare with other New York hospitals?

Mount Sinai Beth Israel's average total payment per Medicare stay is higher than 77% of the 56 New York hospitals that report inpatient hip or knee replacement.