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St Anthony Community Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,352
Hudson Valley Ambulatory Surgery, LLC, 15.4 mi
Outpatient here
$14,339
112 Medicare cases, APC 5115
Inpatient here
$15,844
12 Medicare stays, MS-DRG 470

Medicare prices at St Anthony Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,844$156,9309.9×$14,339
Shoulder replacement———$20,920

Quality

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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Questions

How much does Medicare pay St Anthony Community Hospital for a knee or hip replacement?

In 2024 Medicare paid St Anthony Community Hospital an average of $15,844 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $14,339 per outpatient case (APC 5115, 112 cases).

What is St Anthony Community Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $156,930, 9.9× what Medicare paid. 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 St Anthony Community Hospital?

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.

How does St Anthony Community Hospital compare with other New York hospitals?

Medicare paid St Anthony Community Hospital less than 98% of the 56 New York hospitals that report inpatient hip or knee replacement.