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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,711 | $243,304 | 13.7× | $14,672 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $19,934 | $252,599 | 12.7× | — |
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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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).
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.
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.
Medicare paid Long Island Community Hospital less than 66% of the 56 New York hospitals that report inpatient hip or knee replacement.