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John T Mather Memorial Hospital of Port Jefferson: what a joint replacement costs

Port Jefferson, NY 11777 · CMS Certification Number 330185. 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
Precisioncare Surgery Center, 2.6 mi
Outpatient here
$12,483
Medicare allowed amount, 218 cases, APC 5115
Inpatient here
$18,958
Avg total payment (incl. patient share), 41 Medicare stays, MS-DRG 470

Medicare prices at John T Mather Memorial Hospital of Port Jefferson

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,958$79,7974.2×$12,483
Shoulder replacement$25,184$105,5974.2×$18,142
Hip replacement after a fracture (DRG 522)$22,175$110,8275.0×—

Quality

Complications after hip or knee replacement: 2.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 248 beds

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

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Questions

How much does Medicare pay John T Mather Memorial Hospital of Port Jefferson for a knee or hip replacement?

In 2024 the average total payment to John T Mather Memorial Hospital of Port Jefferson for an inpatient hip or knee replacement stay was $18,958 (MS-DRG 470, 41 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,483 per outpatient case (APC 5115, 218 cases).

What is John T Mather Memorial Hospital of Port Jefferson's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,797, 4.2× 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 John T Mather Memorial Hospital of Port Jefferson?

Yes for Medicare facility payments. Precisioncare Surgery Center, an orthopedic surgery center 2.6 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $8,399 less than an inpatient stay at John T Mather Memorial Hospital of Port Jefferson. Not every patient is a surgery-center candidate.

How does John T Mather Memorial Hospital of Port Jefferson compare with other New York hospitals?

John T Mather Memorial Hospital of Port Jefferson's average total payment per Medicare stay is lower than 54% of the 56 New York hospitals that report inpatient hip or knee replacement.