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Nyu Langone Hospitals: what a joint replacement costs

New York, NY 10016 · CMS Certification Number 330214. 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
$10,735
Gramercy Surgery Center Inc, 0.5 mi
Outpatient here
$14,679
Medicare allowed amount, 1083 cases, APC 5115
Inpatient here
$25,403
Avg total payment (incl. patient share), 940 Medicare stays, MS-DRG 470

Medicare prices at Nyu Langone Hospitals

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$25,403$224,0698.8×$14,679
Shoulder replacement$35,083$270,8297.7×$20,460
Hip replacement after a fracture (DRG 522)$29,210$236,0708.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$59,3902.3×$19,896–$76,1458
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Magnacare (rental network)$83,8983.3×1
UnitedHealthcare$76,1453.0×1
BCBS (other)$71,0412.8×1
Elevance/Anthem/Empire$71,0412.8×1
1199SEIU$61,9042.4×1
EmblemHealth$56,8772.2×1
Cigna$50,9232.0×1
Aetna$46,5611.8×1
Centerlight$19,8960.8×1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 3.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 1069 beds

New York requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Nyu Langone Hospitals for a knee or hip replacement?

In 2024 the average total payment to Nyu Langone Hospitals for an inpatient hip or knee replacement stay was $25,403 (MS-DRG 470, 940 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,679 per outpatient case (APC 5115, 1083 cases).

What is Nyu Langone Hospitals's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $224,069, 8.8× the average total payment for a Medicare stay. 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 Nyu Langone Hospitals?

Yes for Medicare facility payments. Gramercy Surgery Center Inc, an orthopedic surgery center 0.5 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $14,668 less than an inpatient stay at Nyu Langone Hospitals. Not every patient is a surgery-center candidate.

How does Nyu Langone Hospitals compare with other New York hospitals?

Nyu Langone Hospitals's average total payment per Medicare stay is higher than 88% of the 56 New York hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Nyu Langone Hospitals 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 $59,390 across 8 insurers, ranging from $19,896 to $76,145.