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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Shore Medical Center an average of $15,139 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $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× what Medicare paid. 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.
Medicare paid Shore Medical Center less than 88% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.