CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Crouse Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,016
about 1.4× the $14,044 Medicare rate · typically $17,749–$26,288
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,199
About the fair price
about $183 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $19,016 This hospital $19,199

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 $19,199

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 $19,016 (about 1.4× the $14,044 Medicare rate). Crouse Hospital charges insurers about $19,199 — about the fair price. Located in Syracuse, NY.

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✓ Humana CignaKaiser 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 $19,199 - $21,980 137%
Blue Cross Blue Shieldmajor $16,767 - $34,747 119%
Aetnamajor $19,199 - $40,852 137%
Humanamajor $19,199 137%
CDPHP $19,199 137%
EmblemHealth $19,199 137%
Fidelis Care $19,199 137%
MVP Health Care $19,199 137%
WellCare $20,159 144%
+ 5 smaller / regional plans $19,199 - $38,438

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Facility Profile & Credentials

  • Address: 736 Irving Avenue, Syracuse, NY 13210
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals