Revision of hip or knee replacement without complications in New York
What 16 hospitals in New York charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$128,035
Hospital list price billed
Average payment
$32,920
Medicare + patient + other payers
Medicare paid
$24,361
Average per stay
State rank
#41 of 42
1 = lowest average payment
Hospitals in New York billed an average of $128,035 for revision of hip or knee replacement without complications, about 3.9 times the average total payment of $32,920. That payment is 38% above the U.S. average of $23,925.
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 $32,920Billed $128,035
About 26¢ 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 without 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 | 244 | $139,455 | $34,565 | $24,435 |
| NYU Hospitals CenterNew York | 40 | $272,944 | $40,468 | $29,640 |
| St Peter's HospitalAlbany | 35 | $58,868 | $23,639 | $20,516 |
| New York-Presbyterian HospitalNew York | 25 | $102,731 | $32,752 | $28,731 |
| North Shore University HospitalManhasset | 23 | $140,170 | $33,168 | $23,473 |
| Long Island Jewish Medical CenterNew Hyde Park | 23 | $132,406 | $43,603 | $23,095 |
| Buffalo General HospitalBuffalo | 17 | $54,723 | $28,339 | $23,929 |
| Crouse HospitalSyracuse | 17 | $43,453 | $24,374 | $18,417 |
| University HospitalStony Brook | 16 | $85,484 | $31,813 | $29,495 |
| Westchester Medical CenterValhalla | 15 | $204,185 | $41,872 | $24,138 |
| United Health Services HospsBinghamton | 15 | $55,383 | $24,347 | $23,035 |
| Northern Dutchess HospitalRhinebeck | 13 | $60,779 | $26,380 | $24,541 |
| St Francis Hospital, RoslynRoslyn | 13 | $139,391 | $22,915 | $21,246 |
| Mount Sinai WestNew York | 11 | $101,000 | $33,257 | $31,061 |
| Kenmore Mercy HospitalBuffalo | 11 | $62,918 | $27,021 | $14,910 |
| Glens Falls HospitalGlens Falls | 11 | $50,218 | $22,527 | $21,044 |
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
| Glens Falls HospitalGlens Falls, NY | $22,527 |
|---|---|
| St Francis Hospital, RoslynRoslyn, NY | $22,915 |
| St Peter's HospitalAlbany, NY | $23,639 |
| United Health Services HospsBinghamton, NY | $24,347 |
| Crouse HospitalSyracuse, NY | $24,374 |
Highest
| Long Island Jewish Medical CenterNew Hyde Park, NY | $43,603 |
|---|---|
| Westchester Medical CenterValhalla, NY | $41,872 |
| NYU Hospitals CenterNew York, NY | $40,468 |
| Hospital for Special SurgeryNew York, NY | $34,565 |
| Mount Sinai WestNew York, NY | $33,257 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in New York?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 16 hospitals in New York was billed at $128,035 on average, while the average total payment was $32,920, of which Medicare paid $24,361. 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 3.9 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.