Hip or knee replacement (inpatient stay)
Facility: St John's Episcopal Hospital at South Shore
Billing Code: 470 (MS-DRG)
Highest price of the 9 NY hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.
A fair price for a Hip or knee replacement (inpatient stay) is about $23,946 (about 1.7× the $14,044 Medicare rate). St John's Episcopal Hospital at South Shore charges insurers about $26,311 — about the fair price. Located in Far Rockaway, NY.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $20,316 - $26,311 | 145% |
| Blue Cross Blue Shieldmajor | $25,358 - $33,600 | 181% |
| Aetnamajor | $23,521 - $26,311 | 167% |
| Cignamajor | $25,714 | 183% |
| Humanamajor | $26,311 | 187% |
| Fidelis Care | $26,311 | 187% |
| MagnaCare | $33,877 | 241% |
| Molina | $28,942 | 206% |
| WellCare | $26,311 | 187% |
| + 10 smaller / regional plans | $25,516 - $44,977 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at St John's Episcopal Hospital at South Shore
Compare: Hip or knee replacement (inpatient stay) at other NY hospitals
- Community Memorial Hospital, Inc · Hamilton $11,437
- Kenmore Mercy Hospital · Kenmore $14,030
- Mercy Hospital of Buffalo · Buffalo $14,030
- Montefiore St Luke's Cornwall · Newburgh $16,352
- Montefiore Mount Vernon Hospital · Mount Vernon $16,502
- Montefiore New Rochelle Hospital · New Rochelle $16,578
- Glens Falls Hospital · Glens Falls $17,096
- Geneva General Hospital · Geneva $17,152
Insurance negotiated median for the same procedure, sorted lowest first.