CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Henry J Carter Specialty Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$37,920
about 2.7× the $14,044 Medicare rate · typically $13,898–$55,497
modeled estimate · not a bill or quote
What this hospital charges insurers
$46,718
Above the fair price
about $8,798 over the fair price · 3.3× Medicare
Medicare pays $14,044 Fair price $37,920 This hospital $46,718

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 $46,718

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 $37,920 (about 2.7× the $14,044 Medicare rate). Henry J Carter Specialty Hospital charges insurers about $46,718 — above the fair price. Located in New York, 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 $37,920. 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.

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $27,574 196%
Fidelis Care $50,438 - $58,707 359%
+ 5 smaller / regional plans $41,343 - $51,679
Government programs also on file: Military & VA.

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: 1752 Park Ave, New York, NY 10035
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL