Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in New York

MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota

$181,478typical hospital bill

$39,247typical amount paid

$28,264–$44,085range paid across 6 hospitals

New York hospitals billed Medicare a typical $181,478 for this stay in 2024, about 4.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

Hospital	City	Medicare stays	Billed	Paid
Long Island Jewish Medical Center	New Hyde Park	12	$176,748	$28,264
St Francis Hospital - the Heart Center	Roslyn	11	$186,443	$35,960
Nyu Langone Hospitals	New York	67	$276,697	$38,267
Hospital for Special Surgery	New York	63	$160,665	$40,227
New York-Presbyterian Hospital	New York	15	$186,207	$40,931
Mount Sinai Hospital	New York	11	$100,889	$44,085

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.