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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $25,403 | $224,069 | 8.8× | $14,679 |
| Shoulder replacement | $35,083 | $270,829 | 7.7× | $20,460 |
| Hip replacement after a fracture (DRG 522) | $29,210 | $236,070 | 8.1× | — |
| Payer | Median negotiated, MS-DRG 470 | × Medicare | Plans |
|---|---|---|---|
| Other | $83,898 | 3.3× | 11 |
| UnitedHealthcare | $76,145 | 3.0× | 24 |
| Elevance/Anthem/Empire | $71,041 | 2.8× | 33 |
| BCBS (other) | $71,041 | 2.8× | 15 |
| 1199SEIU | $61,904 | 2.4× | 3 |
| EmblemHealth | $57,263 | 2.3× | 80 |
| Cigna | $50,923 | 2.0× | 22 |
| Aetna | $46,561 | 1.8× | 24 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
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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In 2024 Medicare paid Nyu Langone Hospitals an average of $25,403 per inpatient hip or knee replacement stay (MS-DRG 470, 940 stays) and $14,679 per outpatient case (APC 5115, 1083 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $224,069, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Nyu Langone Hospitals more than 88% of the 56 New York hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' median negotiated rates for MS-DRG 470 range from $46,561 (Aetna) to $83,898 (Other).