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New York: one knee, three prices

What Medicare pays New York hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$10,559
Median Medicare knee rate, 79 orthopedic surgery centers
Hospital, same day
$14,032
Median outpatient allowed
Hospital, overnight
$19,185
Median inpatient paid, 56 hospitals

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

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
St Anthony Community HospitalWarwick$15,844$156,930$14,339
St Joseph HospitalBethpage$15,882$98,934$14,579
Putnam Hospital CenterCarmel$16,007$70,506$13,890
St Peter's HospitalAlbany$16,143$50,932$13,638
Glens Falls HospitalGlens Falls$16,155$57,915$13,804
White Plains Hospital CenterWhite Plains$16,514$98,654$14,641
Nyack HospitalNyack$16,710$80,133$14,882
Saratoga HospitalSaratoga Springs$16,797$51,392$13,854
Good Samaritan Hospital of SuffernSuffern$16,901$145,401$14,948
Columbia Memorial HospitalHudson$16,953$33,727$13,785

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Montefiore Medical CenterBronx$31,015$121,570$14,435
South Shore University HospitalBay Shore$28,653$78,826$12,760
Brooklyn Hospital Center - Downtown CampusBrooklyn$27,728$102,835—
Mount Sinai HospitalNew York$27,622$70,474$14,891
Lenox Hill HospitalNew York$26,238$99,541$14,530
North Shore University HospitalManhasset$26,043$94,640$14,004
Hospital for Special SurgeryNew York$25,507$120,505$14,605
Nyu Langone HospitalsNew York$25,403$224,069$14,679
New York-Presbyterian HospitalNew York$24,852$98,544$14,903
Mount Sinai WestNew York$24,680$74,061$14,289

Every New York hospital (93)

Orthopedic surgery centers (79)

Questions

How much does Medicare pay for a knee replacement in New York?

In 2024 Medicare paid New York hospitals a median $19,185 per inpatient hip or knee replacement stay (MS-DRG 470, 56 hospitals) and a median $14,032 per outpatient case. An orthopedic surgery center is paid about $10,559 for a knee.

Which New York hospitals does Medicare pay least for a joint replacement?

St Anthony Community Hospital ($15,844), St Joseph Hospital ($15,882), Putnam Hospital Center ($16,007).

What do New York hospitals list for a joint replacement?

The median list (chargemaster) price is $74,152, about 3.9× what Medicare pays.

Does New York have a certificate-of-need law?

New York requires a certificate of need for new surgery centers. Article 28 CON approval from the Department of Health and PHHPC is required to establish an ambulatory surgery center.