▸ New York · MS-DRG 469
Major joint replacement w MCC in New York
What New York hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
224
Neg. median
$41,641
Min
$663.07
Max
$351,395
Cash median
$28,025
Across 11 New York hospitals, the negotiated rate for Major joint replacement w MCC ranges from $663.07 to $351,395, with a median of $41,641. The interquartile range is $32,177 to $87,555. Cash-pay patients typically pay $28,025; gross charges median $33,025.
By payer in New York
Top 30 payers for Major joint replacement w MCC in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 10 | 24 | $51,598 |
| Humana | 8 | 8 | $33,616 |
| UnitedHealthcare | 8 | 21 | $40,081 |
| Cigna | 7 | 17 | $75,336 |
| WellCare | 6 | 6 | $32,513 |
| Blue Cross Blue Shield | 5 | 10 | $29,781 |
| Emblem Health | 5 | 16 | $82,652 |
| fidelis | 4 | 4 | $37,326 |
| Empire BCBS | 4 | 22 | $71,843 |
| oscar | 3 | 4 | $65,099 |
| magnacare | 3 | 3 | $110,962 |
| local 1199 | 3 | 3 | $87,734 |
| oxford | 3 | 5 | $98,370 |
| Healthfirst | 3 | 5 | $41,641 |
| mvp | 3 | 3 | $32,364 |
| Medicare | 2 | 7 | $28,025 |
| cdphp | 2 | 4 | $72,167 |
| geisinger health plan | 2 | 4 | $49,436 |
| health first | 2 | 2 | $30,962 |
| metroplus | 2 | 2 | $196,518 |
| upmc | 2 | 2 | $30,962 |
| vns | 2 | 2 | $196,518 |
| elderplan 1316 | 1 | 1 | $28,025 |
| longevity | 1 | 1 | $32,177 |
| elderplan | 1 | 1 | $351,395 |
| 1199 seiu | 1 | 1 | $31,263 |
| Medicare Advantage | 1 | 2 | $22,718 |
| wellpath | 1 | 1 | $52,303 |
| capital district physicians' health plan | 1 | 1 | $34,869 |
| northwell direct | 1 | 1 | $66,730 |
Hospital comparison — Major joint replacement w MCC in New York
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Adirondack Medical Center | Saranac Lake | $28,003 | $20,476 | $33,025 |
| Fredrick Ferris Thompson Hospital | Canandaigua | $28,025 | $28,025 | — |
| Garnet Health Medical Center - Catsk | Harris | $29,560 | — | — |
| Garnet Health Medical Center | Middletown | $32,364 | — | — |
| Champlain Valley Physicians Hospital | Plattsburgh | $34,869 | — | — |
| Elizabethtown Community Hospital | Elizabethtown | $35,452 | — | — |
| Nassau University Medical Center | East Meadow | $39,657 | — | — |
| South Nassau Communities Hospital | Oceanside | $65,099 | — | — |
| Memorial Hospital For Cancer And All | New York | $74,671 | — | — |
| New York Presbyterian Hospital | New York | $74,865 | — | — |
| New York Eye And Ear Infirmary | New York | $95,332 | — | — |