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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,188 | $64,042 | 4.2× | $13,878 |
| Shoulder replacement | — | — | — | $18,766 |
| Hip replacement after a fracture (DRG 522) | $16,404 | $107,209 | 6.5× | — |
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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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).
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.
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.
Medicare paid Riverview Medical Center less than 81% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.