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Maimonides Medical Center: what a joint replacement costs

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.

Surgery center nearby
$10,735
Brooklyn Surgery Center, 1.1 mi
Outpatient here
$14,948
Medicare allowed amount, 56 cases, APC 5115
Inpatient here
$24,051
Avg total payment (incl. patient share), 50 Medicare stays, MS-DRG 470

Medicare prices at Maimonides Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$24,051$97,7454.1×$14,948
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$27,141$109,9474.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$56,1872.3×$33,152–$59,4437
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Magnacare (rental network)$66,4512.8×1
Elevance/Anthem/Empire$59,4432.5×1
Centivo$59,2942.5×1
Aetna$56,2432.3×1
UnitedHealthcare$56,1872.3×1
Cigna$55,5562.3×1
EmblemHealth$55,3772.3×1
1199SEIU$33,1521.4×1

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.

Quality

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

New York requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Maimonides Medical Center for a knee or hip replacement?

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).

What is Maimonides Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Maimonides Medical Center?

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.

How does Maimonides Medical Center compare with other New York hospitals?

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.

What do commercial insurers pay Maimonides Medical Center for a 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.