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Healthalliance Hospital Marys Avenue Campus: what a joint replacement costs

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.

Surgery center nearby
$10,352
The Surgery Center at Orthopedic Associates, LLC, 20.0 mi
Outpatient here
$14,206
20 Medicare cases, APC 5115
Inpatient here
$17,316
15 Medicare stays, MS-DRG 470

Medicare prices at Healthalliance Hospital Marys Avenue Campus

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,316$93,1995.4×$14,206
Shoulder replacement———$19,363
Hip replacement after a fracture (DRG 522)$18,735$125,9596.7×—

Quality

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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Questions

How much does Medicare pay Healthalliance Hospital Marys Avenue Campus for a knee or hip replacement?

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).

What is Healthalliance Hospital Marys Avenue Campus's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Healthalliance Hospital Marys Avenue Campus?

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.

How does Healthalliance Hospital Marys Avenue Campus compare with other New York hospitals?

Medicare paid Healthalliance Hospital Marys Avenue Campus less than 77% of the 56 New York hospitals that report inpatient hip or knee replacement.