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Glens Falls Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,176
Center for Advanced Ambulatory Surgery, 24.2 mi
Outpatient here
$13,804
98 Medicare cases, APC 5115
Inpatient here
$16,155
15 Medicare stays, MS-DRG 470

Medicare prices at Glens Falls Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,155$57,9153.6×$13,804
Shoulder replacement———$19,711
Hip replacement after a fracture (DRG 522)$17,418$53,5613.1×—

Quality

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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Questions

How much does Medicare pay Glens Falls Hospital for a knee or hip replacement?

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).

What is Glens Falls Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Glens Falls Hospital?

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.

How does Glens Falls Hospital compare with other New York hospitals?

Medicare paid Glens Falls Hospital less than 91% of the 56 New York hospitals that report inpatient hip or knee replacement.