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Chilton Medical Center: what a joint replacement costs

Pompton Plains, NJ 07444 · CMS Certification Number 310017. 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.

Surgery center nearby
$10,735
Wayne Surgical Center LLC, 3.6 mi
Outpatient here
$14,766
Medicare allowed amount, 81 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Chilton Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$14,766
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,079$106,3066.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,570—$12,000–$45,68022
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Centivo$45,680—1
Cigna$44,988—1
EmblemHealth$43,965—1
Humana$43,965—1
Ila Local 1478-2 Welfare Fund$43,965—1
Oscar$43,965—1
Qualcare$43,965—1
Elevance/Anthem/Empire$42,442—1
Horizon BCBS NJ$42,442—1
BCBS (other)$40,744—1
1199SEIU$38,570—1
Aetna$38,570—1
Bundled Cases/Episodic Payment$37,971—1
Claimdoc$34,969—1
Fairos$30,222—1
Claim Watcher/Homestead$30,064—1
UnitedHealthcare$29,412—1
Highmark BCBS$17,405—1
Kindred Giralda Hospital$17,405—1
UPMC$17,405—1
Karen Ann Quinlan$12,659—1
Kessler Foundation$12,000—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 260 beds

New Jersey has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Chilton Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $14,766 per outpatient hip or knee replacement case (APC 5115, 81 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Chilton Medical Center?

Yes for Medicare facility payments. Wayne Surgical Center LLC, an orthopedic surgery center 3.6 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Chilton Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $38,570 across 22 insurers, ranging from $12,000 to $45,680.