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Long Island Community Hospital: what a joint replacement costs

Patchogue, NY 11772 · CMS Certification Number 330141. 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
Suffolk Surgery Center LLC, 6.3 mi
Outpatient here
$14,672
50 Medicare cases, APC 5115
Inpatient here
$17,711
18 Medicare stays, MS-DRG 470

Medicare prices at Long Island Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,711$243,30413.7×$14,672
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$19,934$252,59912.7×—

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 306 beds

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

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Questions

How much does Medicare pay Long Island Community Hospital for a knee or hip replacement?

In 2024 Medicare paid Long Island Community Hospital an average of $17,711 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $14,672 per outpatient case (APC 5115, 50 cases).

What is Long Island Community Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $243,304, 13.7× what Medicare paid. 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 Long Island Community Hospital?

Yes for Medicare facility payments. Suffolk Surgery Center LLC, an orthopedic surgery center 6.3 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $7,152 less than an inpatient stay at Long Island Community Hospital. Not every patient is a surgery-center candidate.

How does Long Island Community Hospital compare with other New York hospitals?

Medicare paid Long Island Community Hospital less than 66% of the 56 New York hospitals that report inpatient hip or knee replacement.