Major hip and knee joint replacement or reattachment of lower extremity without major complications in New York
What 56 hospitals in New York charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$109,029
Hospital list price billed
Average payment
$23,235
Medicare + patient + other payers
Medicare paid
$17,819
Average per stay
State rank
#47 of 48
1 = lowest average payment
Hospitals in New York billed an average of $109,029 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.7 times the average total payment of $23,235. That payment is 34% above the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $23,235Billed $109,029
About 21¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:
New York hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hospital for Special SurgeryNew York | 1,332 | $120,505 | $25,507 | $17,048 |
| NYU Hospitals CenterNew York | 940 | $224,069 | $25,403 | $21,300 |
| University HospitalStony Brook | 452 | $68,910 | $23,872 | $19,614 |
| St Francis Hospital, RoslynRoslyn | 329 | $89,229 | $18,232 | $13,995 |
| New York-Presbyterian HospitalNew York | 304 | $98,544 | $24,852 | $20,753 |
| North Shore University HospitalManhasset | 242 | $94,640 | $26,043 | $16,403 |
| Peconic Bay Medical CenterRiverhead | 229 | $72,227 | $18,856 | $15,193 |
| Montefiore Medical CenterBronx | 186 | $121,570 | $31,015 | $20,322 |
| Long Island Jewish Medical CenterNew Hyde Park | 184 | $95,061 | $24,326 | $17,869 |
| Adirondack Medical CenterSaranac Lake | 178 | $42,069 | $17,594 | $15,758 |
| Mount Sinai HospitalNew York | 158 | $70,474 | $27,622 | $21,819 |
| Lenox Hill HospitalNew York | 136 | $99,541 | $26,238 | $18,363 |
| Huntington HospitalHuntington | 128 | $67,959 | $17,855 | $14,006 |
| New York Hospital Medical Center of QueensNew York | 124 | $74,243 | $23,332 | $17,980 |
| University Hospital S U N Y Health Science CenterSyracuse | 107 | $81,971 | $21,437 | $17,053 |
| Southside HospitalBay Shore | 102 | $78,826 | $28,653 | $13,529 |
| Montefiore New Rochelle HospitalNew Rochelle | 101 | $62,907 | $21,284 | $17,659 |
| Mount Sinai WestNew York | 99 | $74,061 | $24,680 | $20,776 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 71 | $63,633 | $17,527 | $15,486 |
| White Plains Hospital CtrWhite Plains | 71 | $98,654 | $16,514 | $15,020 |
| St Joseph's Hospital Health CenterSyracuse | 69 | $50,774 | $17,105 | $14,761 |
| Northern Dutchess HospitalRhinebeck | 64 | $49,959 | $19,002 | $16,808 |
| Unity Hospital of RochesterRochester | 58 | $36,464 | $18,194 | $15,171 |
| Westchester Medical CenterValhalla | 52 | $168,503 | $21,877 | $19,833 |
| Highland HospitalRochester | 51 | $45,610 | $19,759 | $14,440 |
| St Charles HospitalPort Jefferson | 51 | $79,881 | $17,430 | $16,166 |
| Maimonides Medical CenterBrooklyn | 50 | $97,745 | $24,051 | $21,249 |
| St Peter's HospitalAlbany | 44 | $50,932 | $16,143 | $14,652 |
| United Health Services HospsBinghamton | 43 | $39,575 | $17,526 | $15,674 |
| John T Mather Memorial Hospital of Port JeffersonPort Jefferson | 41 | $79,797 | $18,958 | $16,478 |
| Garnet Health Medical CenterGoshen | 35 | $65,987 | $20,409 | $16,469 |
| Hudson Valley Hospital CenterCortlandt Manor | 34 | $59,912 | $18,439 | $14,060 |
| Staten Island University HospitalStaten Island | 32 | $80,014 | $23,345 | $18,806 |
| Erie County Medical CenterBuffalo | 32 | $35,825 | $20,557 | $17,921 |
| Arnot Ogden Medical CenterElmira | 29 | $42,612 | $21,641 | $19,000 |
| Nyack HospitalNyack | 26 | $80,133 | $16,710 | $15,078 |
| Good Samaritan Hospital Medical CenterWest Islip | 26 | $107,542 | $19,034 | $15,070 |
| Good Samaritan Hospital of SuffernSuffern | 25 | $145,401 | $16,901 | $15,334 |
| Rochester General HospitalRochester | 23 | $45,903 | $20,121 | $15,268 |
| Plainview HospitalPlainview | 23 | $81,862 | $18,833 | $16,866 |
| Saratoga HospitalSaratoga Springs | 21 | $51,392 | $16,797 | $14,165 |
| Crouse HospitalSyracuse | 19 | $35,557 | $17,120 | $12,951 |
| Long Island Community HospitalPatchogue | 18 | $243,304 | $17,711 | $15,936 |
| St Joseph HospitalBethpage | 18 | $98,934 | $15,882 | $14,336 |
| Buffalo General HospitalBuffalo | 17 | $64,545 | $19,772 | $17,099 |
| Mary Imogene Bassett HospitalCooperstown | 15 | $52,949 | $20,008 | $18,011 |
| Glens Falls HospitalGlens Falls | 15 | $57,915 | $16,155 | $14,523 |
| Healthalliance Hospital Marys Avenue CampusKingston | 15 | $93,199 | $17,316 | $15,496 |
| Mercy Medical CenterRockville Centre | 14 | $102,071 | $17,317 | $15,624 |
| Columbia Memorial HospitalHudson | 13 | $33,727 | $16,953 | $15,446 |
| Putnam Hospital CenterCarmel | 13 | $70,506 | $16,007 | $14,156 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn | 12 | $102,835 | $27,728 | $23,586 |
| St Anthony Community HospitalWarwick | 12 | $156,930 | $15,844 | $14,348 |
| Champlain Valley Physicians Hospital Medical CtrPlattsburgh | 12 | $57,374 | $19,335 | $17,568 |
| St Joseph's Medical CenterYonkers | 11 | $63,505 | $21,526 | $19,764 |
| Beth Israel Medical CenterNew York | 11 | $102,724 | $23,380 | $20,207 |
Lowest and highest payments in New York
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Anthony Community HospitalWarwick, NY | $15,844 |
|---|---|
| St Joseph HospitalBethpage, NY | $15,882 |
| Putnam Hospital CenterCarmel, NY | $16,007 |
| St Peter's HospitalAlbany, NY | $16,143 |
| Glens Falls HospitalGlens Falls, NY | $16,155 |
Highest
| Montefiore Medical CenterBronx, NY | $31,015 |
|---|---|
| Southside HospitalBay Shore, NY | $28,653 |
| Brooklyn Hospital Center at Downtown CampusBrooklyn, NY | $27,728 |
| Mount Sinai HospitalNew York, NY | $27,622 |
| Lenox Hill HospitalNew York, NY | $26,238 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in New York?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 56 hospitals in New York was billed at $109,029 on average, while the average total payment was $23,235, of which Medicare paid $17,819. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New York, average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.