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Staten Island University Hospital: what a joint replacement costs

Staten Island, NY 10305 · CMS Certification Number 330160. 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
$10,735
Bay Ridge Surgi-Center, 3.0 mi
Outpatient here
$14,498
Medicare allowed amount, 148 cases, APC 5115
Inpatient here
$23,345
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Staten Island University Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$23,345$80,0143.4×$14,498
Shoulder replacement———$21,153
Hip replacement after a fracture (DRG 522)$24,835$117,2244.7×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 714 beds

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

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Questions

How much does Medicare pay Staten Island University Hospital for a knee or hip replacement?

In 2024 the average total payment to Staten Island University Hospital for an inpatient hip or knee replacement stay was $23,345 (MS-DRG 470, 32 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,498 per outpatient case (APC 5115, 148 cases).

What is Staten Island University Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,014, 3.4× 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 Staten Island University Hospital?

Yes for Medicare facility payments. Bay Ridge Surgi-Center, an orthopedic surgery center 3.0 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $12,610 less than an inpatient stay at Staten Island University Hospital. Not every patient is a surgery-center candidate.

How does Staten Island University Hospital compare with other New York hospitals?

Staten Island University Hospital's average total payment per Medicare stay is higher than 75% of the 56 New York hospitals that report inpatient hip or knee replacement.