New Hyde Park, NY 11040 · CMS Certification Number 330195. 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 | $24,326 | $95,061 | 3.9× | $14,797 |
| Shoulder replacement | $28,520 | $109,514 | 3.8× | — |
| Hip replacement after a fracture (DRG 522) | $25,371 | $127,659 | 5.0× | — |
Complications after hip or knee replacement: 2.7% (no different from the national rate). Readmissions: 4.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1025 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Long Island Jewish Medical Center an average of $24,326 per inpatient hip or knee replacement stay (MS-DRG 470, 184 stays) and $14,797 per outpatient case (APC 5115, 35 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,061, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Lij Medical Center Ambulatory Surgery Center, an orthopedic surgery center 1.3 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $13,767 less than an inpatient stay at Long Island Jewish Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Long Island Jewish Medical Center more than 82% of the 56 New York hospitals that report inpatient hip or knee replacement.