Pennington, NJ 08534 · CMS Certification Number 310044. 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 | $17,490 | $226,756 | 13.0× | $13,755 |
| Shoulder replacement | $23,022 | $359,973 | 15.6× | $19,463 |
| Hip replacement after a fracture (DRG 522) | $21,193 | $404,007 | 19.1× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 344 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Capital Health Medical Center - Hopewell an average of $17,490 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $13,755 per outpatient case (APC 5115, 142 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $226,756, 13.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Mercer County Surgery Center, an orthopedic surgery center 5.0 mi away, is paid about $9,144 by Medicare for a knee replacement (CPT 27447), $8,346 less than an inpatient stay at Capital Health Medical Center - Hopewell. Not every patient is a surgery-center candidate.
Medicare paid Capital Health Medical Center - Hopewell more than 58% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.