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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,872 | $68,910 | 2.9× | $14,033 |
| Shoulder replacement | $30,403 | $107,214 | 3.5× | $20,762 |
| Hip replacement after a fracture (DRG 522) | $26,961 | $157,169 | 5.8× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $45,321 | 1.9× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $45,321 | 1.9× | 1 |
From the hospital's price-transparency file (2026-06-10); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-10); commercial plans, dollar-amount contracts only.
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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In 2024 the average total payment to Stony Brook University Hospital for an inpatient hip or knee replacement stay was $23,872 (MS-DRG 470, 452 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,033 per outpatient case (APC 5115, 100 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,910, 2.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Stony Brook University Hospital's average total payment per Medicare stay is higher than 79% of the 56 New York hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $45,321 across 1 insurer.