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St Charles Hospital: what a joint replacement costs

Port Jefferson, NY 11777 · CMS Certification Number 330246. 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
$14,443
284 Medicare cases, APC 5115
Inpatient here
$17,430
51 Medicare stays, MS-DRG 470

Medicare prices at St Charles Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,430$79,8814.6×$14,443
Shoulder replacement———$20,762

Quality

Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 231 beds

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

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Questions

How much does Medicare pay St Charles Hospital for a knee or hip replacement?

In 2024 Medicare paid St Charles Hospital an average of $17,430 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $14,443 per outpatient case (APC 5115, 284 cases).

What is St Charles Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,881, 4.6× what Medicare paid. 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 St Charles Hospital?

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), $6,871 less than an inpatient stay at St Charles Hospital. Not every patient is a surgery-center candidate.

How does St Charles Hospital compare with other New York hospitals?

Medicare paid St Charles Hospital less than 73% of the 56 New York hospitals that report inpatient hip or knee replacement.