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Shore Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,445
Jersey Shore Ambulatory Surgery Center, same ZIP
Outpatient here
$13,631
Medicare allowed amount, 196 cases, APC 5115
Inpatient here
$15,139
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Shore Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,139$84,0375.6×$13,631
Shoulder replacement———$19,463
Hip replacement after a fracture (DRG 522)$16,668$111,6746.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,2121.2×$13,590–$29,9914
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Horizon BCBS NJ$29,9912.0×1
Cigna$20,2531.3×1
Aetna$16,1721.1×1
Amerihealth$13,5900.9×1

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.

Quality

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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Questions

How much does Medicare pay Shore Medical Center for a knee or hip replacement?

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).

What is Shore Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Shore Medical Center?

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.

How does Shore Medical Center compare with other New Jersey hospitals?

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.

What do commercial insurers pay Shore Medical Center 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 $18,212 across 4 insurers, ranging from $13,590 to $29,991.