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Unity 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.

Surgery center nearby
$8,661
Rochester Surgery Center, 8.0 mi
Outpatient here
$13,578
175 Medicare cases, APC 5115
Inpatient here
$18,194
58 Medicare stays, MS-DRG 470

Medicare prices at Unity Hospital of Rochester

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,194$36,4642.0×$13,578
Shoulder replacement$22,927$43,7111.9×$19,711

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

New York requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Unity Hospital of Rochester for a knee or hip replacement?

In 2024 Medicare paid Unity Hospital of Rochester an average of $18,194 per inpatient hip or knee replacement stay (MS-DRG 470, 58 stays) and $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× 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 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?

Medicare paid Unity Hospital of Rochester less than 63% of the 56 New York hospitals that report inpatient hip or knee replacement.