Glens Falls, NY 12801 · CMS Certification Number 330191. 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 | $16,155 | $57,915 | 3.6× | $13,804 |
| Shoulder replacement | — | — | — | $19,711 |
| Hip replacement after a fracture (DRG 522) | $17,418 | $53,561 | 3.1× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 442 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Glens Falls Hospital an average of $16,155 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $13,804 per outpatient case (APC 5115, 98 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,915, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Center for Advanced Ambulatory Surgery, an orthopedic surgery center 24.2 mi away, is paid about $8,176 by Medicare for a knee replacement (CPT 27447), $7,979 less than an inpatient stay at Glens Falls Hospital. Not every patient is a surgery-center candidate.
Medicare paid Glens Falls Hospital less than 91% of the 56 New York hospitals that report inpatient hip or knee replacement.