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Overlook Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,631
Center for Ambulatory Surgery, LLC, 2.4 mi
Outpatient here
$14,716
386 Medicare cases, APC 5115
Inpatient here
$18,222
66 Medicare stays, MS-DRG 470

Medicare prices at Overlook Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,222$90,2205.0×$14,716
Shoulder replacement———$20,710
Hip replacement after a fracture (DRG 522)$20,573$104,5805.1×—

Quality

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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Questions

How much does Medicare pay Overlook Medical Center for a knee or hip replacement?

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).

What is Overlook Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Overlook Medical Center?

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.

How does Overlook Medical Center compare with other New Jersey hospitals?

Medicare paid Overlook Medical Center more than 73% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.