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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,485 | 1.8× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $30,485 | 1.8× | 1 |
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-31); commercial plans, dollar-amount contracts only.
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 the average total payment to Saratoga Hospital for an inpatient hip or knee replacement stay was $16,797 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Saratoga Hospital's average total payment per Medicare stay is lower than 86% of the 56 New York hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $30,485 across 1 insurer.