Paramus, NJ 07652 · CMS Certification Number 310012. 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 | $16,135 | $80,515 | 5.0× | $14,848 |
| Shoulder replacement | — | — | — | $20,866 |
| Hip replacement after a fracture (DRG 522) | $17,929 | $76,046 | 4.2× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 431 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Valley Hospital an average of $16,135 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $14,848 per outpatient case (APC 5115, 522 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $80,515, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Orthopaedic and Spine Institute of Nj, an orthopedic surgery center same ZIP away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $5,400 less than an inpatient stay at Valley Hospital. Not every patient is a surgery-center candidate.
Medicare paid Valley Hospital less than 65% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.