Price AtlasInteractive atlas · All states · techysurgeon.comUnity Hospital of Rochester: what a joint replacement costs
Rochester, NY 14626 · CMS Certification Number 330226. 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.
Medicare prices at Unity Hospital of Rochester
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,194 | $36,464 | 2.0× | $13,578 |
| Shoulder replacement | $22,927 | $43,711 | 1.9× | $19,711 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,111 | 1.3× | $18,301–$27,240 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $27,240 | 1.5× | 1 |
| UnitedHealthcare | $24,111 | 1.3× | 1 |
| EmblemHealth | $18,301 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 311 beds
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Questions
How much does Medicare pay Unity Hospital of Rochester for a knee or hip replacement?
In 2024 the average total payment to Unity Hospital of Rochester for an inpatient hip or knee replacement stay was $18,194 (MS-DRG 470, 58 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,578 per outpatient case (APC 5115, 175 cases).
What is Unity Hospital of Rochester's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $36,464, 2.0× 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 Unity Hospital of Rochester?
Yes for Medicare facility payments. Rochester Surgery Center, an orthopedic surgery center 8.0 mi away, is paid about $8,661 by Medicare for a knee replacement (CPT 27447), $9,533 less than an inpatient stay at Unity Hospital of Rochester. Not every patient is a surgery-center candidate.
How does Unity Hospital of Rochester compare with other New York hospitals?
Unity Hospital of Rochester's average total payment per Medicare stay is lower than 63% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Unity Hospital of Rochester 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 $24,111 across 3 insurers, ranging from $18,301 to $27,240.