Price AtlasInteractive atlas · All states · techysurgeon.comPlainview Hospital: what a joint replacement costs
Plainview, NY 11803 · CMS Certification Number 330331. 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 Plainview Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,833 | $81,862 | 4.3× | $14,223 |
| Shoulder replacement | — | — | — | — |
Quality
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 204 beds
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Questions
How much does Medicare pay Plainview Hospital for a knee or hip replacement?
In 2024 the average total payment to Plainview Hospital for an inpatient hip or knee replacement stay was $18,833 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,223 per outpatient case (APC 5115, 50 cases).
What is Plainview Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,862, 4.3× 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 Plainview Hospital?
Yes for Medicare facility payments. Day-Op Center of Long Island Inc, an orthopedic surgery center 2.7 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $8,274 less than an inpatient stay at Plainview Hospital. Not every patient is a surgery-center candidate.
How does Plainview Hospital compare with other New York hospitals?
Plainview Hospital's average total payment per Medicare stay is lower than 57% of the 56 New York hospitals that report inpatient hip or knee replacement.