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 paid | List price | List ÷ paid | Outpatient 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× | — |
| Payer | Median negotiated, MS-DRG 470 | × Medicare | Plans |
|---|---|---|---|
| Other | $62,873 | 2.6× | 2 |
| Elevance/Anthem/Empire | $59,980 | 2.5× | 2 |
| EmblemHealth | $56,513 | 2.3× | 3 |
| Aetna | $56,243 | 2.3× | 3 |
| Cigna | $55,556 | 2.3× | 3 |
| UnitedHealthcare | $50,763 | 2.1× | 7 |
| 1199SEIU | $33,152 | 1.4× | 1 |
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
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Maimonides Medical Center an average of $24,051 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $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× what Medicare paid. 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.
Medicare paid Maimonides Medical Center more 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' median negotiated rates for MS-DRG 470 range from $33,152 (1199SEIU) to $62,873 (Other).