Buffalo, NY 14215 · CMS Certification Number 330219. 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 | $20,557 | $35,825 | 1.7× | $13,649 |
| Shoulder replacement | $25,561 | $58,352 | 2.3× | $19,419 |
| Hip replacement after a fracture (DRG 522) | $24,093 | $51,673 | 2.1× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 526 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Erie County Medical Center an average of $20,557 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $13,649 per outpatient case (APC 5115, 123 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $35,825, 1.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ambulatory Surgery Center of Western New York LLC, an orthopedic surgery center 2.5 mi away, is paid about $9,292 by Medicare for a knee replacement (CPT 27447), $11,265 less than an inpatient stay at Erie County Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Erie County Medical Center more than 63% of the 56 New York hospitals that report inpatient hip or knee replacement.