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Hackensack Meridian Mountainside Medical: what a joint replacement costs

Montclair, NJ 07042 · CMS Certification Number 310054. 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
Freedom Surgical Center, LLC, 1.7 mi
Outpatient here
$13,153
50 Medicare cases, APC 5115
Inpatient here
$18,197
31 Medicare stays, MS-DRG 470

Medicare prices at Hackensack Meridian Mountainside Medical

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,197$67,5693.7×$13,153
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$20,694$88,4754.3×—

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 328 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 Hackensack Meridian Mountainside Medical for a knee or hip replacement?

In 2024 Medicare paid Hackensack Meridian Mountainside Medical an average of $18,197 per inpatient hip or knee replacement stay (MS-DRG 470, 31 stays) and $13,153 per outpatient case (APC 5115, 50 cases).

What is Hackensack Meridian Mountainside Medical's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,569, 3.7× 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 Hackensack Meridian Mountainside Medical?

Yes for Medicare facility payments. Freedom Surgical Center, LLC, an orthopedic surgery center 1.7 mi away, is paid about $9,631 by Medicare for a knee replacement (CPT 27447), $8,566 less than an inpatient stay at Hackensack Meridian Mountainside Medical. Not every patient is a surgery-center candidate.

How does Hackensack Meridian Mountainside Medical compare with other New Jersey hospitals?

Medicare paid Hackensack Meridian Mountainside Medical more than 69% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.