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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,197 | $67,569 | 3.7× | $13,153 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $20,694 | $88,475 | 4.3× | — |
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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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).
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.
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.
Medicare paid Hackensack Meridian Mountainside Medical more than 69% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.