Englewood, NJ 07631 · CMS Certification Number 310045. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,239 | $240,863 | 12.5× | $14,833 |
| Shoulder replacement | — | — | — | $21,153 |
| Hip replacement after a fracture (DRG 522) | $22,204 | $221,390 | 10.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,764 | 1.7× | $18,461–$38,838 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| AmeriHealth 757 | $38,838 | 2.0× | 1 |
| Horizon BCBS NJ | $37,204 | 1.9× | 1 |
| Cigna | $33,071 | 1.7× | 1 |
| UnitedHealthcare | $32,949 | 1.7× | 1 |
| Aetna | $30,578 | 1.6× | 1 |
| MagnaCare 769 (rental network) | $28,918 | 1.5× | 1 |
| MagnaCare 763 (rental network) | $25,118 | 1.3× | 1 |
| Qualcare 783 | $22,788 | 1.2× | 1 |
| Health Care Support 787 | $19,384 | 1.0× | 1 |
| EmblemHealth | $18,461 | 1.0× | 1 |
From the hospital's price-transparency file (2026-02-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-02); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 517 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Englewood Hospital for an inpatient hip or knee replacement stay was $19,239 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $14,833 per outpatient case (APC 5115, 116 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $240,863, 12.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Nyc Joint and Spine Center, an orthopedic surgery center same ZIP away, is paid about $9,631 by Medicare for a knee replacement (CPT 27447), $9,608 less than an inpatient stay at Englewood Hospital. Not every patient is a surgery-center candidate.
Englewood Hospital's average total payment per Medicare stay is higher than 81% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $31,764 across 8 insurers, ranging from $18,461 to $38,838.