Flemington, NJ 08822 · CMS Certification Number 310005. 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 | $15,945 | $54,973 | 3.4× | $12,494 |
| Shoulder replacement | — | — | — | $19,086 |
| Hip replacement after a fracture (DRG 522) | $17,839 | $77,897 | 4.4× | — |
Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 184 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Hunterdon Medical Center an average of $15,945 per inpatient hip or knee replacement stay (MS-DRG 470, 121 stays) and $12,494 per outpatient case (APC 5115, 84 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,973, 3.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hunterdon Center for Surgery, an orthopedic surgery center same ZIP away, is paid about $9,631 by Medicare for a knee replacement (CPT 27447), $6,314 less than an inpatient stay at Hunterdon Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Hunterdon Medical Center less than 73% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.