Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Robert Wood Johnson University Hospital Somerset: what a joint replacement costs

Somerville, NJ 08876 · CMS Certification Number 310048. 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
$9,582
Somerset Ambulatory Surgical Center, same ZIP
Outpatient here
$13,250
168 Medicare cases, APC 5115
Inpatient here
$15,618
25 Medicare stays, MS-DRG 470

Medicare prices at Robert Wood Johnson University Hospital Somerset

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,618$82,8585.3×$13,250
Shoulder replacement———$18,688
Hip replacement after a fracture (DRG 522)$18,965$113,0766.0×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 335 beds

New Jersey has a certificate-of-need program that does not cover surgery centers.

Open the interactive price tagBuild a reportAll New Jersey hospitals

Questions

How much does Medicare pay Robert Wood Johnson University Hospital Somerset for a knee or hip replacement?

In 2024 Medicare paid Robert Wood Johnson University Hospital Somerset an average of $15,618 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $13,250 per outpatient case (APC 5115, 168 cases).

What is Robert Wood Johnson University Hospital Somerset's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,858, 5.3× what Medicare paid. 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 Robert Wood Johnson University Hospital Somerset?

Yes for Medicare facility payments. Somerset Ambulatory Surgical Center, an orthopedic surgery center same ZIP away, is paid about $9,582 by Medicare for a knee replacement (CPT 27447), $6,036 less than an inpatient stay at Robert Wood Johnson University Hospital Somerset. Not every patient is a surgery-center candidate.

How does Robert Wood Johnson University Hospital Somerset compare with other New Jersey hospitals?

Medicare paid Robert Wood Johnson University Hospital Somerset less than 77% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.