Warwick, NY 10990 · CMS Certification Number 330205. 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 | $15,844 | $156,930 | 9.9× | $14,339 |
| Shoulder replacement | — | — | — | $20,920 |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 60 beds
New York requires a certificate of need for new surgery centers.
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In 2024 the average total payment to St Anthony Community Hospital for an inpatient hip or knee replacement stay was $15,844 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,339 per outpatient case (APC 5115, 112 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $156,930, 9.9× 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. Hudson Valley Ambulatory Surgery, LLC, an orthopedic surgery center 15.4 mi away, is paid about $10,352 by Medicare for a knee replacement (CPT 27447), $5,492 less than an inpatient stay at St Anthony Community Hospital. Not every patient is a surgery-center candidate.
St Anthony Community Hospital's average total payment per Medicare stay is lower than 98% of the 56 New York hospitals that report inpatient hip or knee replacement.