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Riverview Medical Center: what a joint replacement costs

Red Bank, NJ 07701 · CMS Certification Number 310034. 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
$9,582
Shrewsbury Surgery Center, LLC, 2.6 mi
Outpatient here
$13,878
458 Medicare cases, APC 5115
Inpatient here
$15,188
51 Medicare stays, MS-DRG 470

Medicare prices at Riverview Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,188$64,0424.2×$13,878
Shoulder replacement———$18,766
Hip replacement after a fracture (DRG 522)$16,404$107,2096.5×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 440 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 Riverview Medical Center for a knee or hip replacement?

In 2024 Medicare paid Riverview Medical Center an average of $15,188 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $13,878 per outpatient case (APC 5115, 458 cases).

What is Riverview Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,042, 4.2× what Medicare paid. 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 Riverview Medical Center?

Yes for Medicare facility payments. Shrewsbury Surgery Center, LLC, an orthopedic surgery center 2.6 mi away, is paid about $9,582 by Medicare for a knee replacement (CPT 27447), $5,606 less than an inpatient stay at Riverview Medical Center. Not every patient is a surgery-center candidate.

How does Riverview Medical Center compare with other New Jersey hospitals?

Medicare paid Riverview Medical Center less than 81% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.