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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid St Joseph's University Medical Center Inc an average of $23,227 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $14,568 per outpatient case (APC 5115, 140 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $154,788, 6.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid St Joseph's University Medical Center Inc more than 100% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.