Kingston, NY 12401 · CMS Certification Number 330224. 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 | $17,316 | $93,199 | 5.4× | $14,206 |
| Shoulder replacement | — | — | — | $19,363 |
| Hip replacement after a fracture (DRG 522) | $18,735 | $125,959 | 6.7× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 222 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Healthalliance Hospital Marys Avenue Campus an average of $17,316 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $14,206 per outpatient case (APC 5115, 20 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $93,199, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. The Surgery Center at Orthopedic Associates, LLC, an orthopedic surgery center 20.0 mi away, is paid about $10,352 by Medicare for a knee replacement (CPT 27447), $6,964 less than an inpatient stay at Healthalliance Hospital Marys Avenue Campus. Not every patient is a surgery-center candidate.
Medicare paid Healthalliance Hospital Marys Avenue Campus less than 77% of the 56 New York hospitals that report inpatient hip or knee replacement.