Brooklyn, NY 11219 · CMS Certification Number 330194. 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 | $24,051 | $97,745 | 4.1× | $14,948 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $27,141 | $109,947 | 4.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $56,187 | 2.3× | $33,152–$59,443 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Magnacare (rental network) | $66,451 | 2.8× | 1 |
| Elevance/Anthem/Empire | $59,443 | 2.5× | 1 |
| Centivo | $59,294 | 2.5× | 1 |
| Aetna | $56,243 | 2.3× | 1 |
| UnitedHealthcare | $56,187 | 2.3× | 1 |
| Cigna | $55,556 | 2.3× | 1 |
| EmblemHealth | $55,377 | 2.3× | 1 |
| 1199SEIU | $33,152 | 1.4× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 711 beds
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In 2024 the average total payment to Maimonides Medical Center for an inpatient hip or knee replacement stay was $24,051 (MS-DRG 470, 50 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).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,745, 4.1× 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. Brooklyn Surgery Center, an orthopedic surgery center 1.1 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $13,316 less than an inpatient stay at Maimonides Medical Center. Not every patient is a surgery-center candidate.
Maimonides Medical Center's average total payment per Medicare stay is higher than 80% 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 $56,187 across 7 insurers, ranging from $33,152 to $59,443.