Saratoga Springs, NY 12866 · CMS Certification Number 330222. 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 | $16,797 | $51,392 | 3.1× | $13,854 |
| Shoulder replacement | — | — | — | $19,711 |
| Hip replacement after a fracture (DRG 522) | $16,836 | $67,824 | 4.0× | — |
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 171 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Saratoga Hospital an average of $16,797 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $13,854 per outpatient case (APC 5115, 324 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,392, 3.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Center for Advanced Ambulatory Surgery, an orthopedic surgery center 8.2 mi away, is paid about $8,176 by Medicare for a knee replacement (CPT 27447), $8,621 less than an inpatient stay at Saratoga Hospital. Not every patient is a surgery-center candidate.
Medicare paid Saratoga Hospital less than 86% of the 56 New York hospitals that report inpatient hip or knee replacement.