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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,958 | $79,797 | 4.2× | $12,483 |
| Shoulder replacement | $25,184 | $105,597 | 4.2× | $18,142 |
| Hip replacement after a fracture (DRG 522) | $22,175 | $110,827 | 5.0× | — |
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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In 2024 Medicare paid John T Mather Memorial Hospital of Port Jefferson an average of $18,958 per inpatient hip or knee replacement stay (MS-DRG 470, 41 stays) and $12,483 per outpatient case (APC 5115, 218 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,797, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid John T Mather Memorial Hospital of Port Jefferson less than 54% of the 56 New York hospitals that report inpatient hip or knee replacement.