Hip and knee replacement cost in New York, with major complications
In 2024, Medicare and patients paid an average of $38,725 per stay at 6 New York hospitals, 18% above the national average of $32,812. That is the third highest of 27 states. Half of New York hospitals averaged between $36,537 and $40,755.
Medicare’s name: Major hip and knee joint replacement or reattachment of lower extremity with MCC or… (MS-DRG 469)
Also known as: Hip replacement, knee replacement, joint replacement, arthroplasty
New York figures, 2024
- Average payment per case
- $38,725
- Typical range (middle half of hospitals)
- $36,537–$40,755
- Medicare’s share
- $33,824
- Average billed charge
- $205,225
- Hospitals reporting
- 6
Compare with hospitals nationwide
National figures, 2024
- Average payment per case
- $32,812
- Typical range (middle half of hospitals)
- $24,115–$36,469
- Medicare’s share
- $28,095
- Average billed charge
- $180,053
- Hospitals reporting
- 70
Hospitals in New York
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
- Average payment across these 6 hospitals
- $38,725
- Median hospital
- $39,247
- Lowest to highest
- $28,264–$44,085
- Medicare stays
- 179
6 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Long Island Jewish Medical Center | 12 | $28,264 | 14% below the national average | $26,116 | $176,748 |
| St Francis Hospital - The Heart Center | 11 | $35,960 | About average | $24,516 | $186,443 |
| NYU Langone Hospitals | 67 | $38,267 | 17% above the national average | $34,970 | $276,697 |
| Hospital For Special Surgery | 63 | $40,227 | 23% above the national average | $33,934 | $160,665 |
| New York-Presbyterian Hospital | 15 | $40,931 | 25% above the national average | $36,812 | $186,207 |
| Mount Sinai Hospital | 11 | $44,085 | 34% above the national average | $39,863 | $100,889 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $24K | $112K |
| 2021 | $30K | $141K |
| 2022 | $34K | $170K |
| 2023 | $33K | $156K |
| 2024 | $33K | $180K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 27 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Missouri | 1 | 14 | $19,709 | $19,709–$19,709 |
| Tennessee | 1 | 11 | $21,293 | $21,293–$21,293 |
| Texas | 5 | 83 | $22,528 | $21,996–$22,703 |
| Iowa | 1 | 15 | $22,750 | $22,750–$22,750 |
| Oklahoma | 1 | 11 | $22,950 | $22,950–$22,950 |
| Indiana | 1 | 14 | $23,585 | $23,585–$23,585 |
| West Virginia | 1 | 11 | $23,985 | $23,985–$23,985 |
| South Dakota | 2 | 23 | $24,237 | $23,523–$24,836 |
| Virginia | 2 | 25 | $26,397 | $24,539–$29,429 |
| Kansas | 2 | 24 | $26,988 | $26,101–$27,622 |
| Florida | 4 | 76 | $28,243 | $23,464–$31,888 |
| Nevada | 1 | 17 | $28,513 | $28,513–$28,513 |
| Michigan | 2 | 31 | $28,669 | $28,095–$30,832 |
| Alaska | 1 | 11 | $29,087 | $29,087–$29,087 |
| New Jersey | 3 | 34 | $29,614 | $26,327–$32,323 |
| North Carolina | 4 | 58 | $29,736 | $26,193–$31,689 |
| Massachusetts | 4 | 107 | $30,278 | $30,370–$38,804 |
| Illinois | 6 | 91 | $30,498 | $24,554–$30,505 |
| Washington | 2 | 23 | $31,820 | $30,752–$33,091 |
| Ohio | 1 | 12 | $32,231 | $32,231–$32,231 |
| Utah | 1 | 14 | $32,439 | $32,439–$32,439 |
| Wisconsin | 1 | 14 | $32,501 | $32,501–$32,501 |
| Pennsylvania | 3 | 41 | $36,630 | $34,253–$39,050 |
| Minnesota | 2 | 29 | $36,796 | $34,345–$39,611 |
| New York | 6 | 179 | $38,725 | $36,537–$40,755 |
| California | 9 | 155 | $43,802 | $31,639–$46,735 |
| Colorado | 3 | 37 | $46,630 | $26,472–$58,525 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.