Revision of Hip or Knee Replacement with Mcc in New York
MS-DRG 466: Revision of hip or knee replacement with mcc
$270,729typical hospital bill
$71,315typical amount paid
$53,333–$80,727range paid across 5 hospitals
New York hospitals billed Medicare a typical $270,729 for this stay in 2024, about 3.8 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 | |
|---|---|---|---|---|---|
| Albany Medical Center Hospital | Albany | 14 | $113,493 | $53,333 | |
| University Hospital S U N Y Health Science Center | Syracuse | 11 | $270,729 | $56,344 | |
| Nyu Langone Hospitals | New York | 27 | $538,765 | $71,315 | |
| Hospital for Special Surgery | New York | 17 | $253,101 | $73,897 | |
| Montefiore Medical Center | Bronx | 12 | $349,047 | $80,727 |
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.