Price AtlasInteractive atlas · All states · techysurgeon.comOverlook 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.
Medicare prices at Overlook Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,888 | 2.3× | $12,000–$48,356 | 22 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 1199SEIU | $48,356 | 2.7× | 1 |
| Aetna | $48,356 | 2.7× | 1 |
| Horizon BCBS NJ | $47,170 | 2.6× | 1 |
| Centivo | $45,680 | 2.5× | 1 |
| BCBS (other) | $45,283 | 2.5× | 1 |
| Cigna | $45,217 | 2.5× | 1 |
| EmblemHealth | $43,965 | 2.4× | 1 |
| Humana | $43,965 | 2.4× | 1 |
| Ila Local 1478-2 Welfare Fund | $43,965 | 2.4× | 1 |
| Oscar | $43,965 | 2.4× | 1 |
| Qualcare | $43,965 | 2.4× | 1 |
| Claimdoc | $39,811 | 2.2× | 1 |
| Bundled Cases/Episodic Payment | $37,971 | 2.1× | 1 |
| Fairos | $34,406 | 1.9× | 1 |
| Claim Watcher/Homestead | $31,081 | 1.7× | 1 |
| UnitedHealthcare | $30,527 | 1.7× | 1 |
| Wtc Health Program | $24,018 | 1.3× | 1 |
| Kindred Giralda Hospital | $19,815 | 1.1× | 1 |
| Highmark BCBS | $17,994 | 1.0× | 1 |
| UPMC | $17,994 | 1.0× | 1 |
| Karen Ann Quinlan | $14,411 | 0.8× | 1 |
| Kessler Foundation | $12,000 | 0.7× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Overlook Medical Center for an inpatient hip or knee replacement stay was $18,222 (MS-DRG 470, 66 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Overlook Medical Center's average total payment per Medicare stay is higher than 73% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Overlook Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $41,888 across 22 insurers, ranging from $12,000 to $48,356.