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North Shore University Hospital: what a joint replacement costs

Manhasset, NY 11030 · CMS Certification Number 330106. 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
Lij Medical Center Ambulatory Surgery Center, 2.5 mi
Outpatient here
$14,004
Medicare allowed amount, 320 cases, APC 5115
Inpatient here
$26,043
Avg total payment (incl. patient share), 242 Medicare stays, MS-DRG 470

Medicare prices at North Shore University Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$26,043$94,6403.6×$14,004
Shoulder replacement$25,839$136,6895.3×$19,083
Hip replacement after a fracture (DRG 522)$26,809$138,2805.2×—

Quality

Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 812 beds

New York requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to North Shore University Hospital for an inpatient hip or knee replacement stay was $26,043 (MS-DRG 470, 242 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,004 per outpatient case (APC 5115, 320 cases).

What is North 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 $94,640, 3.6× 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 North Shore University Hospital?

Yes for Medicare facility payments. Lij Medical Center Ambulatory Surgery Center, an orthopedic surgery center 2.5 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $15,484 less than an inpatient stay at North Shore University Hospital. Not every patient is a surgery-center candidate.

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

North Shore University Hospital's average total payment per Medicare stay is higher than 91% of the 56 New York hospitals that report inpatient hip or knee replacement.