Syracuse, NY 13210 · CMS Certification Number 330203. 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 | $17,120 | $35,557 | 2.1× | $13,425 |
| Shoulder replacement | — | — | — | $19,711 |
| Hip replacement after a fracture (DRG 522) | $19,243 | $37,741 | 2.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,422 | 2.0× | $21,980–$38,438 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| EmblemHealth | $38,438 | 2.2× | 1 |
| Excellus BCBS | $34,747 | 2.0× | 1 |
| Aetna | $32,096 | 1.9× | 1 |
| UnitedHealthcare | $21,980 | 1.3× | 1 |
From the hospital's price-transparency file (2026-05-19); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-05-19); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 6.1% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 466 beds
New York requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Crouse Hospital for an inpatient hip or knee replacement stay was $17,120 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,425 per outpatient case (APC 5115, 190 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $35,557, 2.1× 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. Specialists One Day Surgery Center, LLC, an orthopedic surgery center 2.0 mi away, is paid about $9,052 by Medicare for a knee replacement (CPT 27447), $8,068 less than an inpatient stay at Crouse Hospital. Not every patient is a surgery-center candidate.
Crouse Hospital's average total payment per Medicare stay is lower than 79% 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 $33,422 across 4 insurers, ranging from $21,980 to $38,438.