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Mount Sinai South Nassau: what a joint replacement costs

Oceanside, NY 11572 · CMS Certification Number 330198. 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
Lynbrook Sc, LLC, 2.6 mi
Outpatient here
$14,652
175 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Mount Sinai South Nassau

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$14,652
Shoulder replacement———$20,946
Hip replacement after a fracture (DRG 522)$21,342$118,0735.5×—

Quality

Complications after hip or knee replacement: 6.3% (no different from the national rate). Readmissions: 7.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 435 beds

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

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Questions

How much does Medicare pay Mount Sinai South Nassau for a knee or hip replacement?

Medicare allowed an average of $14,652 per outpatient hip or knee replacement case (APC 5115, 175 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Mount Sinai South Nassau?

Yes for Medicare facility payments. Lynbrook Sc, LLC, an orthopedic surgery center 2.6 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.