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Good Samaritan Hospital Medical Center: what a joint replacement costs

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.

Surgery center nearby
$10,559
South Shore Surgery Center, 2.8 mi
Outpatient here
$14,579
Medicare allowed amount, 139 cases, APC 5115
Inpatient here
$19,034
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Good Samaritan Hospital Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,034$107,5425.6×$14,579
Shoulder replacement———$20,762
Hip replacement after a fracture (DRG 522)$19,311$129,7426.7×—

Quality

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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Questions

How much does Medicare pay Good Samaritan Hospital Medical Center for a knee or hip replacement?

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).

What is Good Samaritan Hospital Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Good Samaritan Hospital Medical Center?

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.

How does Good Samaritan Hospital Medical Center compare with other New York hospitals?

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.