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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,043 | $94,640 | 3.6× | $14,004 |
| Shoulder replacement | $25,839 | $136,689 | 5.3× | $19,083 |
| Hip replacement after a fracture (DRG 522) | $26,809 | $138,280 | 5.2× | — |
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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In 2024 Medicare paid North Shore University Hospital an average of $26,043 per inpatient hip or knee replacement stay (MS-DRG 470, 242 stays) and $14,004 per outpatient case (APC 5115, 320 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $94,640, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid North Shore University Hospital more than 91% of the 56 New York hospitals that report inpatient hip or knee replacement.