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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
Medicare allowed amount, 168 cases, APC 5115
Inpatient here
$15,618
Avg total payment (incl. patient share), 25 Medicare stays, MS-DRG 470

Medicare prices at Robert Wood Johnson University Hospital Somerset

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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.

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Questions

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

In 2024 the average total payment to Robert Wood Johnson University Hospital Somerset for an inpatient hip or knee replacement stay was $15,618 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?

Robert Wood Johnson University Hospital Somerset's average total payment per Medicare stay is lower than 77% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.