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Saratoga Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,176
Center for Advanced Ambulatory Surgery, 8.2 mi
Outpatient here
$13,854
Medicare allowed amount, 324 cases, APC 5115
Inpatient here
$16,797
Avg total payment (incl. patient share), 21 Medicare stays, MS-DRG 470

Medicare prices at Saratoga Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,797$51,3923.1×$13,854
Shoulder replacement———$19,711
Hip replacement after a fracture (DRG 522)$16,836$67,8244.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$30,4851.8×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$30,4851.8×1

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.

Quality

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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Questions

How much does Medicare pay Saratoga Hospital for a knee or hip replacement?

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).

What is Saratoga Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Saratoga Hospital?

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.

How does Saratoga Hospital compare with other New York hospitals?

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.

What do commercial insurers pay Saratoga Hospital for a 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.