Price AtlasInteractive atlas · All states · techysurgeon.comSt 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.
Medicare prices at St Charles Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,430 | $79,881 | 4.6× | $14,443 |
| Shoulder replacement | — | — | — | $20,762 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,774 | 1.0× | $12,009–$44,770 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Rx Internal | $44,770 | 2.6× | 1 |
| Elevance/Anthem/Empire | $40,127 | 2.3× | 1 |
| Regence BlueShield | $40,127 | 2.3× | 1 |
| Moda | $33,548 | 1.9× | 1 |
| Providence Health Plan | $33,548 | 1.9× | 1 |
| Kaiser Permanente | $21,520 | 1.2× | 1 |
| Law Enforcement | $16,774 | 1.0× | 1 |
| Otj Dept Of Labor Federal Emp | $16,774 | 1.0× | 1 |
| Otj Us Department Of Labor | $16,774 | 1.0× | 1 |
| Pacificsource Community Solutions | $13,302 | 0.8× | 1 |
| Health Share | $12,009 | 0.7× | 1 |
| Health Share Care Oregon | $12,009 | 0.7× | 1 |
| Health Share Ohsu Ohp | $12,009 | 0.7× | 1 |
| Health Share Providence | $12,009 | 0.7× | 1 |
| Health Share Tuality | $12,009 | 0.7× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay St Charles Hospital for a knee or hip replacement?
In 2024 the average total payment to St Charles Hospital for an inpatient hip or knee replacement stay was $17,430 (MS-DRG 470, 51 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
St Charles Hospital's average total payment per Medicare stay is lower than 73% of the 56 New York hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Charles Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $16,774 across 15 insurers, ranging from $12,009 to $44,770.