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United Health Services Hospitals, Inc: what a joint replacement costs

Binghamton, NY 13903 · CMS Certification Number 330394. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$13,395
Medicare allowed amount, 92 cases, APC 5115
Inpatient here
$17,526
Avg total payment (incl. patient share), 43 Medicare stays, MS-DRG 470

Medicare prices at United Health Services Hospitals, Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,526$39,5752.3×$13,395
Shoulder replacement———$19,711

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 500 beds

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

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Questions

How much does Medicare pay United Health Services Hospitals, Inc for a knee or hip replacement?

In 2024 the average total payment to United Health Services Hospitals, Inc for an inpatient hip or knee replacement stay was $17,526 (MS-DRG 470, 43 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,395 per outpatient case (APC 5115, 92 cases).

What is United Health Services Hospitals, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $39,575, 2.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does United Health Services Hospitals, Inc compare with other New York hospitals?

United Health Services Hospitals, Inc's average total payment per Medicare stay is lower than 71% of the 56 New York hospitals that report inpatient hip or knee replacement.