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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,616 | 1.9× | $26,540–$34,693 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $34,693 | 2.1× | 1 |
| UnitedHealthcare | $26,540 | 1.6× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll New York hospitals
In 2024 the average total payment to Glens Falls Hospital for an inpatient hip or knee replacement stay was $16,155 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Glens Falls Hospital's average total payment per Medicare stay is lower than 91% of the 56 New York hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $30,616 across 2 insurers, ranging from $26,540 to $34,693.