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Canton-Potsdam Hospital: what a joint replacement costs

Potsdam, NY 13676 · CMS Certification Number 330197. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$14,917
Medicare allowed amount, 33 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Canton-Potsdam Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$14,917
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,727$37,1562.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,852—$11,477–$23,0723
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$23,072—1
Cdphp$22,852—1
Aetna$11,477—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: 4.5% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 94 beds

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Questions

How much does Medicare pay Canton-Potsdam Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $14,917 per outpatient hip or knee replacement case (APC 5115, 33 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Canton-Potsdam Hospital 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 $22,852 across 3 insurers, ranging from $11,477 to $23,072.