Revision of Hip or Knee Replacement Without Cc/Mcc in New York
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$93,242typical hospital bill
$30,076typical amount paid
$22,527–$43,603range paid across 16 hospitals
New York hospitals billed Medicare a typical $93,242 for this stay in 2024, about 3.1 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 | |
|---|---|---|---|---|---|
| Glens Falls Hospital | Glens Falls | 11 | $50,218 | $22,527 | |
| St Francis Hospital - the Heart Center | Roslyn | 13 | $139,391 | $22,915 | |
| St Peter's Hospital | Albany | 35 | $58,868 | $23,639 | |
| United Health Services Hospitals, Inc | Binghamton | 15 | $55,383 | $24,347 | |
| Crouse Hospital | Syracuse | 17 | $43,453 | $24,374 | |
| Northern Dutchess Hospital | Rhinebeck | 13 | $60,779 | $26,380 | |
| Kenmore Mercy Hospital | Kenmore | 11 | $62,918 | $27,021 | |
| Kaleida Health | Buffalo | 17 | $54,723 | $28,339 | |
| Suny/Stony Brook University Hospital | Stony Brook | 16 | $85,484 | $31,813 | |
| New York-Presbyterian Hospital | New York | 25 | $102,731 | $32,752 | |
| North Shore University Hospital | Manhasset | 23 | $140,170 | $33,168 | |
| Mount Sinai West | New York | 11 | $101,000 | $33,257 | |
| Hospital for Special Surgery | New York | 244 | $139,455 | $34,565 | |
| Nyu Langone Hospitals | New York | 40 | $272,944 | $40,468 | |
| Westchester Medical Center | Valhalla | 15 | $204,185 | $41,872 | |
| Long Island Jewish Medical Center | New Hyde Park | 23 | $132,406 | $43,603 |
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.