Bethpage, NY 11714 · CMS Certification Number 330332. 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 | $15,882 | $98,934 | 6.2× | $14,579 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,662 | $110,177 | 6.2× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 203 beds
New York requires a certificate of need for new surgery centers.
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In 2024 Medicare paid St Joseph Hospital an average of $15,882 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $14,579 per outpatient case (APC 5115, 59 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,934, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Melville Surgical Center, an orthopedic surgery center 4.9 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $5,323 less than an inpatient stay at St Joseph Hospital. Not every patient is a surgery-center candidate.
Medicare paid St Joseph Hospital less than 96% of the 56 New York hospitals that report inpatient hip or knee replacement.