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St Joseph Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,559
Melville Surgical Center, 4.9 mi
Outpatient here
$14,579
Medicare allowed amount, 59 cases, APC 5115
Inpatient here
$15,882
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at St Joseph Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,882$98,9346.2×$14,579
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,662$110,1776.2×—

Quality

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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Questions

How much does Medicare pay St Joseph Hospital for a knee or hip replacement?

In 2024 the average total payment to St Joseph Hospital for an inpatient hip or knee replacement stay was $15,882 (MS-DRG 470, 18 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, 59 cases).

What is St Joseph Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,934, 6.2× 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 St Joseph Hospital?

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.

How does St Joseph Hospital compare with other New York hospitals?

St Joseph Hospital's average total payment per Medicare stay is lower than 96% of the 56 New York hospitals that report inpatient hip or knee replacement.