Somers Point, NJ 08244 · CMS Certification Number 310047. 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 | $15,139 | $84,037 | 5.6× | $13,631 |
| Shoulder replacement | — | — | — | $19,463 |
| Hip replacement after a fracture (DRG 522) | $16,668 | $111,674 | 6.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,212 | 1.2× | $13,590–$29,991 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Horizon BCBS NJ | $29,991 | 2.0× | 1 |
| Cigna | $20,253 | 1.3× | 1 |
| Aetna | $16,172 | 1.1× | 1 |
| Amerihealth | $13,590 | 0.9× | 1 |
From the hospital's price-transparency file (2026-08-30); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-08-30); commercial plans, dollar-amount contracts only.
Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 302 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 Shore Medical Center for an inpatient hip or knee replacement stay was $15,139 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,631 per outpatient case (APC 5115, 196 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $84,037, 5.6× 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. Jersey Shore Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,445 by Medicare for a knee replacement (CPT 27447), $5,694 less than an inpatient stay at Shore Medical Center. Not every patient is a surgery-center candidate.
Shore Medical Center's average total payment per Medicare stay is lower than 88% 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 $18,212 across 4 insurers, ranging from $13,590 to $29,991.