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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,430 | $79,881 | 4.6× | $14,443 |
| Shoulder replacement | — | — | — | $20,762 |
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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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).
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.
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.
Medicare paid St Charles Hospital less than 73% of the 56 New York hospitals that report inpatient hip or knee replacement.