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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,317 | $102,071 | 5.9× | $13,705 |
| Shoulder replacement | — | — | — | — |
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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In 2024 Medicare paid Mercy Medical Center an average of $17,317 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $13,705 per outpatient case (APC 5115, 12 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,071, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Mercy Medical Center less than 75% of the 56 New York hospitals that report inpatient hip or knee replacement.