Hackensack, NJ 07601 · CMS Certification Number 310001. 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 | $22,809 | $81,125 | 3.6× | $14,810 |
| Shoulder replacement | $27,083 | $131,486 | 4.9× | $20,941 |
| Hip replacement after a fracture (DRG 522) | $22,781 | $99,764 | 4.4× | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 781 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hackensack University Medical Center an average of $22,809 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $14,810 per outpatient case (APC 5115, 965 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,125, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hackensack Musculoskeletal Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $12,074 less than an inpatient stay at Hackensack University Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Hackensack University Medical Center more than 96% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.