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Capital Health Medical Center - Hopewell: what a joint replacement costs

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.

Surgery center nearby
$9,144
Mercer County Surgery Center, 5.0 mi
Outpatient here
$13,755
Medicare allowed amount, 142 cases, APC 5115
Inpatient here
$17,490
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Capital Health Medical Center - Hopewell

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,490$226,75613.0×$13,755
Shoulder replacement$23,022$359,97315.6×$19,463
Hip replacement after a fracture (DRG 522)$21,193$404,00719.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,2521.8×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Horizon BCBS NJ$32,2521.8×1

From the hospital's price-transparency file (2026-06-24); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-24); commercial plans, dollar-amount contracts only.

Quality

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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Questions

How much does Medicare pay Capital Health Medical Center - Hopewell for a knee or hip replacement?

In 2024 the average total payment to Capital Health Medical Center - Hopewell for an inpatient hip or knee replacement stay was $17,490 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,755 per outpatient case (APC 5115, 142 cases).

What is Capital Health Medical Center - Hopewell's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $226,756, 13.0× the average total payment for a Medicare stay. 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 Capital Health Medical Center - Hopewell?

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.

How does Capital Health Medical Center - Hopewell compare with other New Jersey hospitals?

Capital Health Medical Center - Hopewell's average total payment per Medicare stay is higher than 58% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Capital Health Medical Center - Hopewell 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 $32,252 across 1 insurer.