Revision of hip or knee replacement with complications in New York
What 27 hospitals in New York charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$169,078
Hospital list price billed
Average payment
$38,907
Medicare + patient + other payers
Medicare paid
$32,981
Average per stay
State rank
#39 of 41
1 = lowest average payment
Hospitals in New York billed an average of $169,078 for revision of hip or knee replacement with complications, about 4.3 times the average total payment of $38,907. That payment is 27% above the U.S. average of $30,673.
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 $38,907Billed $169,078
About 23¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: revision of hip or knee replacement with 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 | 223 | $182,224 | $43,090 | $33,507 |
| New York-Presbyterian HospitalNew York | 84 | $162,255 | $42,242 | $36,751 |
| NYU Hospitals CenterNew York | 61 | $333,501 | $45,160 | $40,223 |
| St Francis Hospital, RoslynRoslyn | 37 | $137,203 | $29,261 | $25,374 |
| Montefiore Medical CenterBronx | 30 | $201,681 | $48,464 | $40,380 |
| St Joseph's Hospital Health CenterSyracuse | 27 | $72,285 | $29,027 | $27,194 |
| Mount Sinai HospitalNew York | 26 | $129,712 | $46,418 | $42,001 |
| Westchester Medical CenterValhalla | 26 | $324,761 | $39,549 | $36,381 |
| Long Island Jewish Medical CenterNew Hyde Park | 25 | $183,991 | $40,722 | $33,632 |
| University Hospital S U N Y Health Science CenterSyracuse | 25 | $170,038 | $37,986 | $33,502 |
| Southside HospitalBay Shore | 23 | $140,146 | $31,096 | $29,386 |
| St Peter's HospitalAlbany | 20 | $79,344 | $31,236 | $26,081 |
| Peconic Bay Medical CenterRiverhead | 20 | $107,927 | $33,183 | $26,253 |
| Albany Medical Center HospitalAlbany | 18 | $77,976 | $34,417 | $32,355 |
| North Shore University HospitalManhasset | 18 | $196,935 | $35,758 | $32,403 |
| Huntington HospitalHuntington | 16 | $150,160 | $27,762 | $26,145 |
| Garnet Health Medical CenterGoshen | 15 | $94,909 | $39,646 | $29,524 |
| Northern Westchester HospitalMt Kisco | 15 | $125,561 | $26,526 | $25,294 |
| University HospitalStony Brook | 14 | $158,344 | $43,968 | $35,354 |
| United Health Services HospsBinghamton | 14 | $81,148 | $31,564 | $30,072 |
| Lenox Hill HospitalNew York | 13 | $173,060 | $45,920 | $33,476 |
| Buffalo General HospitalBuffalo | 12 | $112,453 | $31,478 | $29,980 |
| Highland HospitalRochester | 12 | $76,053 | $27,917 | $24,060 |
| Our Lady of Lourdes Memorial Hospital, INCBinghamton | 11 | $103,845 | $31,015 | $29,574 |
| Crouse HospitalSyracuse | 11 | $70,861 | $30,681 | $27,467 |
| Unity Hospital of RochesterRochester | 11 | $69,158 | $28,679 | $27,142 |
| St Charles HospitalPort Jefferson | 11 | $161,579 | $29,627 | $28,256 |
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
| Northern Westchester HospitalMt Kisco, NY | $26,526 |
|---|---|
| Huntington HospitalHuntington, NY | $27,762 |
| Highland HospitalRochester, NY | $27,917 |
| Unity Hospital of RochesterRochester, NY | $28,679 |
| St Joseph's Hospital Health CenterSyracuse, NY | $29,027 |
Highest
| Montefiore Medical CenterBronx, NY | $48,464 |
|---|---|
| Mount Sinai HospitalNew York, NY | $46,418 |
| Lenox Hill HospitalNew York, NY | $45,920 |
| NYU Hospitals CenterNew York, NY | $45,160 |
| University HospitalStony Brook, NY | $43,968 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in New York?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 27 hospitals in New York was billed at $169,078 on average, while the average total payment was $38,907, of which Medicare paid $32,981. 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 4.3 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.