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Hip replacement in New York: what insurers pay

Posted commercial rates at 60 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Garnet Health Medical Center Catskills Harris$9,8150.6×32026-04-01
Maimonides Medical Center Brooklyn$11,3190.7×62026-04-01
Saratoga Hospital Saratoga Springs$15,2260.9×32025-12-31
Glens Falls Hospital Glens Falls$15,3801.0×52025-12-31
Albany Medical Center Hospital Albany$15,5761.0×22025-12-31
Nassau University Medical Center East Meadow$15,6271.0×22025-10-28
Wynn Hospital Utica$17,4691.1×142026-08-07
Oneida Health Oneida$17,6201.1×62026-09-27
Bronxcare Hospital Center Bronx$17,9511.1×22026-05-05
Montefiore Mount Vernon Hospital Mount Vernon$18,1491.1×82026-04-01
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$19,6321.2×32026-09-05
Jacobi Medical Center Bronx$19,6321.2×32026-09-05
Queens Hospital Center Jamaica$19,6321.2×32026-09-05
Samaritan Medical Center Watertown$20,3911.3×42026-02-02
Erie County Medical Center Buffalo$21,0691.3×52026-08-25
Columbia Memorial Hospital Hudson$22,6201.4×22025-12-31
Highland Hospital Rochester$23,0131.4×42026-07-01
Elmhurst Hospital Center Elmhurst$24,0391.5×42026-09-05
South Brooklyn Health Brooklyn$24,0391.5×42026-09-05
Metropolitan Hospital Center New York$24,0391.5×42026-09-05
Kings County Hospital Center Brooklyn$24,0391.5×42026-09-05
Bellevue Hospital Center New York$24,0391.5×42026-09-05
Harlem Hospital Center New York$24,0391.5×42026-09-05
Montefiore Medical Center Bronx$24,4701.5×112026-04-01
Roswell Park Cancer Institute Buffalo$24,7281.5×32026-04-01
St Joseph'S Medical Center Yonkers$25,8271.6×12026-07-13
Jones Memorial Hospital Wellsville$26,4991.6×72026-01-01
Nicholas H Noyes Memorial Hospital Dansville$27,1181.7×62026-01-01
Strong Memorial Hospital Rochester$27,4981.7×42026-07-01
Garnet Health Medical Center Middletown$28,0461.8×52026-04-01
Geneva General Hospital Geneva$28,2751.8×32026-08-27
Crouse Hospital Syracuse$28,7821.8×32026-05-19
Samaritan Hospital Troy$32,4772.0×242026-03-31
St James Hospital Hornell$36,2162.3×52026-01-01
Medina Memorial Hospital Medina$37,6192.4×12026-07-29
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$42,7162.7×92026-01-01
Hospital for Special Surgery New York$60,6323.8×142026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$13,9940.8×12026-01-01
Ira Davenport Memorial Hospital Bath$14,6420.8×12026-03-27
Arnot Ogden Medical Center Elmira$15,7040.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$15,7040.9×22026-03-27
St Charles Hospital Port Jefferson$16,7741.0×152026-04-01
Montefiore Medical Center Bronx$16,8041.0×22026-04-01
Guthrie Cortland Regional Medical Center Cortland$17,2241.0×42026-03-31
Geneva General Hospital Geneva$17,5471.0×32026-08-27
St James Hospital Hornell$17,7671.0×12026-01-01
Corning Hospital Corning$17,9821.0×62026-03-31
Schuyler Hospital Montour Falls$18,4831.1×22026-03-27
Highland Hospital Rochester$20,4001.2×32026-07-01
Niagara Falls Memorial Medical Center Niagara Falls$21,8361.3×42026-06-17
Clifton Springs Hospital And Clinic Clifton Springs$22,0801.3×32026-04-01
United Memorial Medical Center Batavia$22,2061.3×32026-04-01
Samaritan Medical Center Watertown$22,6611.3×42026-02-02
Medina Memorial Hospital Medina$22,6741.3×22026-07-29
Canton-Potsdam Hospital Potsdam$22,8521.3×32026-04-01
Nassau University Medical Center East Meadow$23,8531.4×62025-10-28
Unity Hospital Of Rochester Rochester$24,1111.4×32026-04-01
Unity Specialty Hospital Rochester$24,1111.4×32026-04-01
Bronxcare Hospital Center Bronx$24,2231.4×72026-05-05
Rochester General Hospital Rochester$24,7311.4×32026-04-01
St John'S Riverside Hospital Yonkers$25,4191.5×62026-03-27
Newark-Wayne Community Hospital Newark$25,8471.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$27,1341.6×12026-01-01
St Joseph'S Medical Center Yonkers$28,0401.6×42026-07-13
Wynn Hospital Utica$29,4641.7×52026-08-07
Flushing Hospital Medical Center Flushing$30,1041.7×82026-03-25
Saratoga Hospital Saratoga Springs$30,4851.8×12025-12-31
Glens Falls Hospital Glens Falls$30,6161.8×22025-12-31
Jamaica Hospital Medical Center Jamaica$30,7601.8×82026-03-25
Strong Memorial Hospital Rochester$32,8821.9×32026-07-01
Mount St Mary'S Hospital And Health Center Lewiston$33,2741.9×62026-04-01
Columbia Memorial Hospital Hudson$33,3621.9×42025-12-31
Crouse Hospital Syracuse$33,4221.9×42026-05-19
Sisters Of Charity Hospital Buffalo$33,9551.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$33,9551.9×72026-04-01
South Brooklyn Health Brooklyn$36,1212.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$36,1752.1×82026-09-05
Elmhurst Hospital Center Elmhurst$37,1542.1×82026-09-05
Jacobi Medical Center Bronx$37,8772.2×82026-09-05
Metropolitan Hospital Center New York$37,8772.2×82026-09-05
Queens Hospital Center Jamaica$37,8772.2×82026-09-05
Harlem Hospital Center New York$37,8772.2×82026-09-05
Kings County Hospital Center Brooklyn$38,3622.2×82026-09-05
Bellevue Hospital Center New York$38,3622.2×82026-09-05
Nathan Littauer Hospital Gloversville$39,4632.3×32026-03-04
Stony Brook University Hospital Stony Brook$45,3212.6×12026-06-10
Albany Medical Center Hospital Albany$55,4663.2×32025-12-31
Maimonides Medical Center Brooklyn$56,1873.2×82026-04-01
Garnet Health Medical Center Catskills Harris$56,8423.3×82026-04-01
Garnet Health Medical Center Middletown$58,0683.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$59,3903.4×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$60,4603.5×102026-04-01
Hospital for Special Surgery New York$68,9404.0×132026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$22,0060.8×12026-01-01
Ira Davenport Memorial Hospital Bath$23,0250.8×12026-03-27
Arnot Ogden Medical Center Elmira$24,6950.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$24,6950.9×22026-03-27
Guthrie Cortland Regional Medical Center Cortland$25,5970.9×42026-03-31
St Charles Hospital Port Jefferson$26,0140.9×152026-04-01
Geneva General Hospital Geneva$27,5931.0×32026-08-27
St James Hospital Hornell$27,9391.0×12026-01-01
Schuyler Hospital Montour Falls$29,0641.1×22026-03-27
Montefiore Medical Center Bronx$29,1291.1×22026-04-01
Corning Hospital Corning$29,7981.1×62026-03-31
Clifton Springs Hospital And Clinic Clifton Springs$34,7201.3×32026-04-01
United Memorial Medical Center Batavia$34,9181.3×32026-04-01
Highland Hospital Rochester$35,6971.3×32026-07-01
Canton-Potsdam Hospital Potsdam$35,9341.3×32026-04-01
Samaritan Medical Center Watertown$36,6821.3×42026-02-02
Niagara Falls Memorial Medical Center Niagara Falls$37,8181.4×42026-06-17
Medina Memorial Hospital Medina$37,8411.4×22026-07-29
Unity Hospital Of Rochester Rochester$37,9151.4×32026-04-01
Unity Specialty Hospital Rochester$37,9151.4×32026-04-01
Rochester General Hospital Rochester$38,8901.4×32026-04-01
Newark-Wayne Community Hospital Newark$40,6451.5×32026-04-01
Nassau University Medical Center East Meadow$41,3501.5×62025-10-28
St John'S Riverside Hospital Yonkers$42,1141.5×62026-03-27
St Joseph'S Medical Center Yonkers$42,6481.6×42026-07-13
Nicholas H Noyes Memorial Hospital Dansville$42,6681.6×12026-01-01
Bronxcare Hospital Center Bronx$42,8651.6×72026-05-05
Wynn Hospital Utica$46,0191.7×52026-08-07
Strong Memorial Hospital Rochester$51,7071.9×32026-07-01
Crouse Hospital Syracuse$51,9431.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$52,3231.9×62026-04-01
Saratoga Hospital Saratoga Springs$52,8481.9×12025-12-31
Glens Falls Hospital Glens Falls$53,0771.9×22025-12-31
Sisters Of Charity Hospital Buffalo$53,3941.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$53,3941.9×72026-04-01
Flushing Hospital Medical Center Flushing$53,5421.9×82026-03-25
Jamaica Hospital Medical Center Jamaica$55,6462.0×82026-03-25
South Brooklyn Health Brooklyn$56,8002.1×82026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$56,8852.1×82026-09-05
Columbia Memorial Hospital Hudson$57,8362.1×42025-12-31
Harlem Hospital Center New York$58,3602.1×82026-09-05
Elmhurst Hospital Center Elmhurst$58,4242.1×82026-09-05
Jacobi Medical Center Bronx$59,5612.2×82026-09-05
Metropolitan Hospital Center New York$59,5612.2×82026-09-05
Queens Hospital Center Jamaica$59,5612.2×82026-09-05
Kings County Hospital Center Brooklyn$60,3242.2×82026-09-05
Bellevue Hospital Center New York$60,3242.2×82026-09-05
Nathan Littauer Hospital Gloversville$62,0562.3×32026-03-04
Samaritan Hospital Troy$65,1742.4×52026-03-31
Stony Brook University Hospital Stony Brook$72,6942.6×12026-06-10
Maimonides Medical Center Brooklyn$88,3543.2×82026-04-01
Garnet Health Medical Center Middletown$91,3133.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$98,6553.6×92026-01-01
Garnet Health Medical Center Catskills Harris$100,5873.7×82026-04-01
Albany Medical Center Hospital Albany$103,2553.8×32025-12-31
Montefiore Mount Vernon Hospital Mount Vernon$104,8083.8×102026-04-01
Hospital for Special Surgery New York$128,5894.7×132026-04-01

Questions

How much do insurers pay for hip replacement in New York?

60 New York hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 37 hospitals is $24,039, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.