Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Community Medical Center: what a joint replacement costs

Toms River, NJ 08755 · CMS Certification Number 310041. 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
Toms River West Ambulatory Surgery Center, LLC, same ZIP
Outpatient here
$13,667
138 Medicare cases, APC 5115
Inpatient here
$17,119
69 Medicare stays, MS-DRG 470

Medicare prices at Community Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,119$56,8913.3×$13,667
Shoulder replacement———$19,463
Hip replacement after a fracture (DRG 522)$18,374$88,9914.8×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 592 beds

New Jersey has a certificate-of-need program that does not cover surgery centers.

Open the interactive price tagBuild a reportAll New Jersey hospitals

Questions

How much does Medicare pay Community Medical Center for a knee or hip replacement?

In 2024 Medicare paid Community Medical Center an average of $17,119 per inpatient hip or knee replacement stay (MS-DRG 470, 69 stays) and $13,667 per outpatient case (APC 5115, 138 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,891, 3.3× 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 Community Medical Center?

Yes for Medicare facility payments. Toms River West Ambulatory Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $9,582 by Medicare for a knee replacement (CPT 27447), $7,537 less than an inpatient stay at Community Medical Center. Not every patient is a surgery-center candidate.

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

Medicare paid Community Medical Center more than 54% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.