▸ Compare · PriceTransparency
Major joint replacement w MCC
MS-DRG 469 · negotiated-rate distribution across hospitals in NY
Hospitals
11
Min
$28,003
Median
$35,452
Max
$95,332
Range multiplier
3.4×
By payer (41 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 10 | 24 | $21,044 | $51,598 | $95,403 | 4.5× |
| Empire BCBS | 4 | 22 | $23,097 | $71,843 | $351,395 | 15.2× |
| UnitedHealthcare | 8 | 21 | $28,025 | $40,081 | $351,395 | 12.5× |
| Cigna | 7 | 17 | $29,560 | $75,336 | $351,395 | 11.9× |
| Emblem Health | 5 | 16 | $29,560 | $82,652 | $351,395 | 11.9× |
| Blue Cross Blue Shield | 5 | 10 | $663.07 | $29,781 | $55,790 | 84.1× |
| Humana | 8 | 8 | $28,025 | $33,616 | $351,395 | 12.5× |
| Medicare | 2 | 7 | $22,701 | $28,025 | $28,025 | 1.2× |
| WellCare | 6 | 6 | $28,569 | $32,513 | $351,395 | 12.3× |
| Healthfirst | 3 | 5 | $32,177 | $41,641 | $351,395 | 10.9× |
| oxford | 3 | 5 | $32,177 | $98,370 | $351,395 | 10.9× |
| oscar | 3 | 4 | $65,099 | $65,099 | $74,865 | 1.2× |
| cdphp | 2 | 4 | $29,560 | $72,167 | $114,878 | 3.9× |
| fidelis | 4 | 4 | $30,151 | $37,326 | $351,395 | 11.7× |
| geisinger health plan | 2 | 4 | $29,560 | $49,436 | $72,819 | 2.5× |
| mvp | 3 | 3 | $29,560 | $32,364 | $34,869 | 1.2× |
| local 1199 | 3 | 3 | $66,148 | $87,734 | $90,996 | 1.4× |
| magnacare | 3 | 3 | $52,927 | $110,962 | $117,355 | 2.2× |
| health first | 2 | 2 | $29,560 | $30,962 | $32,364 | 1.1× |
| vns | 2 | 2 | $41,641 | $196,518 | $351,395 | 8.4× |
| horizon | 1 | 2 | $72,951 | $79,388 | $85,824 | 1.2× |
| upmc | 2 | 2 | $29,560 | $30,962 | $32,364 | 1.1× |
| Medicare Advantage | 1 | 2 | $20,234 | $22,718 | $25,203 | 1.2× |
| metroplus | 2 | 2 | $41,641 | $196,518 | $351,395 | 8.4× |
| capital district physicians health plan cdphp | 1 | 1 | $28,003 | $28,003 | $28,003 | 1.0× |
| prime health services | 1 | 1 | $32,364 | $32,364 | $32,364 | 1.0× |
| st. regis | 1 | 1 | $34,869 | $34,869 | $34,869 | 1.0× |
| TRICARE | 1 | 1 | $26,838 | $26,838 | $26,838 | 1.0× |
| brighton | 1 | 1 | $88,327 | $88,327 | $88,327 | 1.0× |
| VA Health | 1 | 1 | $34,869 | $34,869 | $34,869 | 1.0× |
| emblemhealth | 1 | 1 | $38,179 | $38,179 | $38,179 | 1.0× |
| 1199seiu national benefit funds | 1 | 1 | $49,691 | $49,691 | $49,691 | 1.0× |
| elderplan 1316 | 1 | 1 | $28,025 | $28,025 | $28,025 | 1.0× |
| fidelis care | 1 | 1 | $34,869 | $34,869 | $34,869 | 1.0× |
| wellpath | 1 | 1 | $52,303 | $52,303 | $52,303 | 1.0× |
| elderplan | 1 | 1 | $351,395 | $351,395 | $351,395 | 1.0× |
| capital district physicians' health plan | 1 | 1 | $34,869 | $34,869 | $34,869 | 1.0× |
| longevity | 1 | 1 | $32,177 | $32,177 | $32,177 | 1.0× |
| capital district physicians health plan mcr adv | 1 | 1 | $28,003 | $28,003 | $28,003 | 1.0× |
| northwell direct | 1 | 1 | $66,730 | $66,730 | $66,730 | 1.0× |
| 1199 seiu | 1 | 1 | $31,263 | $31,263 | $31,263 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| NEW YORK EYE AND EAR INFIRMARY | NEW YORK | NY | 15 | — | — | $31,263 | $95,332 | $351,395 |
| NEW YORK PRESBYTERIAN HOSPITAL | NEW YORK | NY | 15 | — | — | $41,641 | $74,865 | $119,505 |
| MEMORIAL HOSPITAL FOR CANCER AND ALL | NEW YORK | NY | 3 | — | — | $21,044 | $74,671 | $129,724 |
| SOUTH NASSAU COMMUNITIES HOSPITAL | OCEANSIDE | NY | 12 | — | — | $23,097 | $65,099 | $117,160 |
| NASSAU UNIVERSITY MEDICAL CENTER | EAST MEADOW | NY | 6 | — | — | $29,858 | $39,657 | $52,927 |
| ELIZABETHTOWN COMMUNITY HOSPITAL | ELIZABETHTOWN | NY | 1 | — | — | $35,452 | $35,452 | $35,452 |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | PLATTSBURGH | NY | 10 | — | — | $32,965 | $34,869 | $78,344 |
| GARNET HEALTH MEDICAL CENTER | MIDDLETOWN | NY | 17 | — | — | $32,364 | $32,364 | $117,355 |
| GARNET HEALTH MEDICAL CENTER - CATSK | HARRIS | NY | 15 | — | — | $29,560 | $29,560 | $121,994 |
| FREDRICK FERRIS THOMPSON HOSPITAL | CANANDAIGUA | NY | 6 | — | $28,025 | $22,701 | $28,025 | $40,081 |
| ADIRONDACK MEDICAL CENTER | SARANAC LAKE | NY | 8 | $45,404 | $28,150 | $663.07 | $28,003 | $30,003 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.