West Islip, NY 11795 · CMS Certification Number 330286. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,034 | $107,542 | 5.6× | $14,579 |
| Shoulder replacement | — | — | — | $20,762 |
| Hip replacement after a fracture (DRG 522) | $19,311 | $129,742 | 6.7× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 437 beds
New York requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Good Samaritan Hospital Medical Center for an inpatient hip or knee replacement stay was $19,034 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,579 per outpatient case (APC 5115, 139 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,542, 5.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. South Shore Surgery Center, an orthopedic surgery center 2.8 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $8,475 less than an inpatient stay at Good Samaritan Hospital Medical Center. Not every patient is a surgery-center candidate.
Good Samaritan Hospital Medical Center's average total payment per Medicare stay is lower than 50% of the 56 New York hospitals that report inpatient hip or knee replacement.