Price AtlasInteractive atlas · All states · techysurgeon.comHospital for Special Surgery: what a joint replacement costs
New York, NY 10021 · CMS Certification Number 330270. 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 Hospital for Special Surgery
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $25,507 | $120,505 | 4.7× | $14,605 |
| Shoulder replacement | $30,712 | $125,160 | 4.1× | $20,691 |
Commercial negotiated rates (beta)
| Payer | Median negotiated, MS-DRG 470 | × Medicare | Plans |
|---|---|---|---|
| EmblemHealth | $74,336 | 2.9× | 14 |
| Other | $69,635 | 2.7× | 9 |
| Aetna | $69,635 | 2.7× | 17 |
| UnitedHealthcare | $68,940 | 2.7× | 25 |
| BCBS (other) | $62,900 | 2.5× | 2 |
| Cigna | $61,800 | 2.4× | 13 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 3.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 205 beds
New York requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Hospital for Special Surgery for a knee or hip replacement?
In 2024 Medicare paid Hospital for Special Surgery an average of $25,507 per inpatient hip or knee replacement stay (MS-DRG 470, 1332 stays) and $14,605 per outpatient case (APC 5115, 2670 cases).
What is Hospital for Special Surgery's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $120,505, 4.7× 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 Hospital for Special Surgery?
Yes for Medicare facility payments. New York Center for Ambulatory Surgery, an orthopedic surgery center 0.4 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $14,772 less than an inpatient stay at Hospital for Special Surgery. Not every patient is a surgery-center candidate.
How does Hospital for Special Surgery compare with other New York hospitals?
Medicare paid Hospital for Special Surgery more than 89% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Hospital for Special Surgery for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' median negotiated rates for MS-DRG 470 range from $61,800 (Cigna) to $74,336 (EmblemHealth).