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Montefiore New Rochelle Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,735
Empire State Ambulatory Surgery Center , 5.1 mi
Outpatient here
$14,948
Medicare allowed amount, 56 cases, APC 5115
Inpatient here
$21,283
Avg total payment (incl. patient share), 101 Medicare stays, MS-DRG 470

Medicare prices at Montefiore New Rochelle Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,283$62,9073.0×$14,948
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay Montefiore New Rochelle Hospital for a knee or hip replacement?

In 2024 the average total payment to Montefiore New Rochelle Hospital for an inpatient hip or knee replacement stay was $21,283 (MS-DRG 470, 101 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,948 per outpatient case (APC 5115, 56 cases).

What is Montefiore New Rochelle Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,907, 3.0× 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 Montefiore New Rochelle Hospital?

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.

How does Montefiore New Rochelle Hospital compare with other New York hospitals?

Montefiore New Rochelle Hospital's average total payment per Medicare stay is higher than 64% of the 56 New York hospitals that report inpatient hip or knee replacement.