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Erie County Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,292
Ambulatory Surgery Center of Western New York LLC, 2.5 mi
Outpatient here
$13,649
123 Medicare cases, APC 5115
Inpatient here
$20,557
32 Medicare stays, MS-DRG 470

Medicare prices at Erie County Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,557$35,8251.7×$13,649
Shoulder replacement$25,561$58,3522.3×$19,419
Hip replacement after a fracture (DRG 522)$24,093$51,6732.1×—

Quality

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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Questions

How much does Medicare pay Erie County Medical Center for a knee or hip replacement?

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).

What is Erie County Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Erie County Medical Center?

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.

How does Erie County Medical Center compare with other New York hospitals?

Medicare paid Erie County Medical Center more than 63% of the 56 New York hospitals that report inpatient hip or knee replacement.