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Clifton Springs Hospital and Clinic: what a joint replacement costs

Clifton Springs, NY 14432 · CMS Certification Number 330265. 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
Brighton Surgery Center,LLC, 23.6 mi
Outpatient here
$13,805
Medicare allowed amount, 97 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Clifton Springs Hospital and Clinic

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,805
Shoulder replacement———$19,711

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,080—$20,865–$24,9143
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Excellus BCBS$24,914—1
UnitedHealthcare$22,080—1
Aetna$20,865—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: 4.5% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 154 beds

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

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Questions

How much does Medicare pay Clifton Springs Hospital and Clinic for a knee or hip replacement?

The Medicare allowed amount averaged $13,805 per outpatient hip or knee replacement case (APC 5115, 97 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Clifton Springs Hospital and Clinic?

Yes for Medicare facility payments. Brighton Surgery Center,LLC, an orthopedic surgery center 23.6 mi away, is paid about $8,661 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Clifton Springs Hospital and Clinic 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 $22,080 across 3 insurers, ranging from $20,865 to $24,914.