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Mercy Medical Center: what a joint replacement costs

Rockville Centre, NY 11570 · CMS Certification Number 330259. 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, 1.9 mi
Outpatient here
$13,705
Medicare allowed amount, 12 cases, APC 5115
Inpatient here
$17,317
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Mercy Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,317$102,0715.9×$13,705
Shoulder replacement————

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 375 beds

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

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Questions

How much does Medicare pay Mercy Medical Center for a knee or hip replacement?

In 2024 the average total payment to Mercy Medical Center for an inpatient hip or knee replacement stay was $17,317 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,705 per outpatient case (APC 5115, 12 cases).

What is Mercy Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,071, 5.9× 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 Mercy Medical Center?

Yes for Medicare facility payments. Lynbrook Sc, LLC, an orthopedic surgery center 1.9 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $6,758 less than an inpatient stay at Mercy Medical Center. Not every patient is a surgery-center candidate.

How does Mercy Medical Center compare with other New York hospitals?

Mercy Medical Center's average total payment per Medicare stay is lower than 75% of the 56 New York hospitals that report inpatient hip or knee replacement.