CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Maimonides Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,380
about 1.7× the $14,044 Medicare rate · typically $16,859–$39,339
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,804
Above the fair price
about $6,424 over the fair price · 2.2× Medicare
Medicare pays $14,044 Fair price $24,380 This hospital $30,804

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $11,437 Priciest $30,804

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $24,380 (about 1.7× the $14,044 Medicare rate). Maimonides Medical Center charges insurers about $30,804 — above the fair price. Located in Brooklyn, NY.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $24,380. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $25,670 - $61,611 183%
Blue Cross Blue Shieldmajor $25,670 - $60,517 183%
Aetnamajor $25,670 - $46,413 183%
Cignamajor $25,670 - $55,556 183%
Fidelis Care $25,670 183%
MagnaCare $66,451 473%
Molina $24,387 174%
WellCare $25,670 183%
+ 19 smaller / regional plans $23,873 - $59,294

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals