Bay Shore, NY 11706 · CMS Certification Number 330043. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $28,653 | $78,826 | 2.8× | $12,760 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $20,473 | $102,811 | 5.0× | — |
Complications after hip or knee replacement: 2.5% (no different from the national rate). Readmissions: 4.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 341 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid South Shore University Hospital an average of $28,653 per inpatient hip or knee replacement stay (MS-DRG 470, 102 stays) and $12,760 per outpatient case (APC 5115, 13 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,826, 2.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. South Shore Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $18,094 less than an inpatient stay at South Shore University Hospital. Not every patient is a surgery-center candidate.
Medicare paid South Shore University Hospital more than 98% of the 56 New York hospitals that report inpatient hip or knee replacement.