Denville, NJ 07834 · CMS Certification Number 310050. 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 | $17,719 | $155,729 | 8.8× | $14,784 |
| Shoulder replacement | — | — | — | $20,920 |
| Hip replacement after a fracture (DRG 522) | $19,830 | $132,714 | 6.7× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 418 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Saint Clare's Hospital an average of $17,719 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $14,784 per outpatient case (APC 5115, 53 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $155,729, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgical Center of New Jersey, an orthopedic surgery center same ZIP away, is paid about $9,631 by Medicare for a knee replacement (CPT 27447), $8,088 less than an inpatient stay at Saint Clare's Hospital. Not every patient is a surgery-center candidate.
Medicare paid Saint Clare's Hospital more than 62% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.