Price AtlasInteractive atlas · All states · techysurgeon.comNewton Medical Center: what a joint replacement costs
Newton, NJ 07860 · CMS Certification Number 310028. 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 Newton Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $13,755 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $18,915 | $186,065 | 9.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,971 | — | $12,000–$45,680 | 23 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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 |
| Claimdoc | $39,725 | — | 1 |
| Bundled Cases/Episodic Payment | $37,971 | — | 1 |
| Fairos | $34,333 | — | 1 |
| Claim Watcher/Homestead | $30,989 | — | 1 |
| UnitedHealthcare | $29,412 | — | 1 |
| 1199SEIU | $25,298 | — | 1 |
| Aetna | $25,298 | — | 1 |
| Wtc Health Program | $23,967 | — | 1 |
| Kindred Giralda Hospital | $19,773 | — | 1 |
| Highmark BCBS | $17,941 | — | 1 |
| UPMC | $17,941 | — | 1 |
| Karen Ann Quinlan | $14,380 | — | 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: 4 of 5 stars. Nonprofit · Acute · 148 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 Newton Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $13,755 per outpatient hip or knee replacement case (APC 5115, 22 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Newton Medical Center?
Yes for Medicare facility payments. Specialty Surgical Center LLC, an orthopedic surgery center 9.1 mi away, is paid about $9,631 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Newton 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 $37,971 across 23 insurers, ranging from $12,000 to $45,680.