Valhalla, NY 10595 · CMS Certification Number 330234. 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 | $21,877 | $168,503 | 7.7× | $14,534 |
| Shoulder replacement | — | — | — | $19,659 |
| Hip replacement after a fracture (DRG 522) | $26,636 | $261,981 | 9.8× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 895 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Westchester Medical Center an average of $21,877 per inpatient hip or knee replacement stay (MS-DRG 470, 52 stays) and $14,534 per outpatient case (APC 5115, 171 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $168,503, 7.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgical Specialty Center of Westchester, an orthopedic surgery center 8.3 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $11,142 less than an inpatient stay at Westchester Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Westchester Medical Center more than 71% of the 56 New York hospitals that report inpatient hip or knee replacement.