New Rochelle, NY 10802 · CMS Certification Number 330184. 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 | $21,283 | $62,907 | 3.0× | $14,948 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 2.6% (no different from the national rate). Readmissions: 4.7%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 242 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Montefiore New Rochelle Hospital an average of $21,283 per inpatient hip or knee replacement stay (MS-DRG 470, 101 stays) and $14,948 per outpatient case (APC 5115, 56 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,907, 3.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Empire State Ambulatory Surgery Center , an orthopedic surgery center 5.1 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $10,548 less than an inpatient stay at Montefiore New Rochelle Hospital. Not every patient is a surgery-center candidate.
Medicare paid Montefiore New Rochelle Hospital more than 64% of the 56 New York hospitals that report inpatient hip or knee replacement.