Summit, NJ 07901 · CMS Certification Number 310051. 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 | $18,222 | $90,220 | 5.0× | $14,716 |
| Shoulder replacement | — | — | — | $20,710 |
| Hip replacement after a fracture (DRG 522) | $20,573 | $104,580 | 5.1× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 513 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Overlook Medical Center an average of $18,222 per inpatient hip or knee replacement stay (MS-DRG 470, 66 stays) and $14,716 per outpatient case (APC 5115, 386 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,220, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Center for Ambulatory Surgery, LLC, an orthopedic surgery center 2.4 mi away, is paid about $9,631 by Medicare for a knee replacement (CPT 27447), $8,591 less than an inpatient stay at Overlook Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Overlook Medical Center more than 73% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.