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Stony Brook University Hospital: what a joint replacement costs

Stony Brook, NY 11794 · CMS Certification Number 330393. 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
Precisioncare Surgery Center, 1.6 mi
Outpatient here
$14,033
100 Medicare cases, APC 5115
Inpatient here
$23,872
452 Medicare stays, MS-DRG 470

Medicare prices at Stony Brook University Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,872$68,9102.9×$14,033
Shoulder replacement$30,403$107,2143.5×$20,762
Hip replacement after a fracture (DRG 522)$26,961$157,1695.8×—

Quality

Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 4.4%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 728 beds

New York requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Stony Brook University Hospital for a knee or hip replacement?

In 2024 Medicare paid Stony Brook University Hospital an average of $23,872 per inpatient hip or knee replacement stay (MS-DRG 470, 452 stays) and $14,033 per outpatient case (APC 5115, 100 cases).

What is Stony Brook University Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,910, 2.9× what Medicare paid. 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 Stony Brook University Hospital?

Yes for Medicare facility payments. Precisioncare Surgery Center, an orthopedic surgery center 1.6 mi away, is paid about $10,559 by Medicare for a knee replacement (CPT 27447), $13,313 less than an inpatient stay at Stony Brook University Hospital. Not every patient is a surgery-center candidate.

How does Stony Brook University Hospital compare with other New York hospitals?

Medicare paid Stony Brook University Hospital more than 79% of the 56 New York hospitals that report inpatient hip or knee replacement.