Price AtlasInteractive atlas · All states · techysurgeon.comSt Joseph's University Medical Center Inc: what a joint replacement costs
Paterson, NJ 07503 · CMS Certification Number 310019. 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.
Medicare prices at St Joseph's University Medical Center Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,227 | $154,788 | 6.7× | $14,568 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $26,281 | $161,229 | 6.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $47,380 | 2.0× | $37,795–$57,252 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $57,252 | 2.5× | 1 |
| Horizon BCBS NJ | $49,648 | 2.1× | 1 |
| Aetna | $45,112 | 1.9× | 1 |
| MagnaCare (rental network) | $44,494 | 1.9× | 1 |
| AmeriHealth | $37,795 | 1.6× | 1 |
From the hospital's price-transparency file (2026-04-24); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-24); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 566 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 St Joseph's University Medical Center Inc for a knee or hip replacement?
In 2024 the average total payment to St Joseph's University Medical Center Inc for an inpatient hip or knee replacement stay was $23,227 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,568 per outpatient case (APC 5115, 140 cases).
What is St Joseph's University Medical Center Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $154,788, 6.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near St Joseph's University Medical Center Inc?
Yes for Medicare facility payments. Performance Surgical Center LLC, an orthopedic surgery center 1.3 mi away, is paid about $10,735 by Medicare for a knee replacement (CPT 27447), $12,492 less than an inpatient stay at St Joseph's University Medical Center Inc. Not every patient is a surgery-center candidate.
How does St Joseph's University Medical Center Inc compare with other New Jersey hospitals?
St Joseph's University Medical Center Inc's average total payment per Medicare stay is higher than 100% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay St Joseph's University Medical Center Inc 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 $47,380 across 4 insurers, ranging from $37,795 to $57,252.