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Saint Clare's Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,631
Surgical Center of New Jersey, same ZIP
Outpatient here
$14,784
53 Medicare cases, APC 5115
Inpatient here
$17,719
39 Medicare stays, MS-DRG 470

Medicare prices at Saint Clare's Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,719$155,7298.8×$14,784
Shoulder replacement———$20,920
Hip replacement after a fracture (DRG 522)$19,830$132,7146.7×—

Quality

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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Questions

How much does Medicare pay Saint Clare's Hospital for a knee or hip replacement?

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).

What is Saint Clare's Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Saint Clare's Hospital?

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.

How does Saint Clare's Hospital compare with other New Jersey hospitals?

Medicare paid Saint Clare's Hospital more than 62% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.