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South Shore University Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,559
South Shore Surgery Center, same ZIP
Outpatient here
$12,760
Medicare allowed amount, 13 cases, APC 5115
Inpatient here
$28,653
Avg total payment (incl. patient share), 102 Medicare stays, MS-DRG 470

Medicare prices at South Shore University Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$28,653$78,8262.8×$12,760
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$20,473$102,8115.0×—

Quality

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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Questions

How much does Medicare pay South Shore University Hospital for a knee or hip replacement?

In 2024 the average total payment to South Shore University Hospital for an inpatient hip or knee replacement stay was $28,653 (MS-DRG 470, 102 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,760 per outpatient case (APC 5115, 13 cases).

What is South Shore University Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $78,826, 2.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near South Shore University Hospital?

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.

How does South Shore University Hospital compare with other New York hospitals?

South Shore University Hospital's average total payment per Medicare stay is higher than 98% of the 56 New York hospitals that report inpatient hip or knee replacement.