Atlantic City, NJ 08401 · CMS Certification Number 310064. 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 | $16,931 | $83,297 | 4.9× | $13,657 |
| Shoulder replacement | $21,586 | $134,494 | 6.2× | $19,463 |
| Hip replacement after a fracture (DRG 522) | $18,634 | $111,520 | 6.0× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 593 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Atlanticare Regional Medical Center - City Campus an average of $16,931 per inpatient hip or knee replacement stay (MS-DRG 470, 96 stays) and $13,657 per outpatient case (APC 5115, 492 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,297, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Jersey Shore Ambulatory Surgery Center, an orthopedic surgery center 8.9 mi away, is paid about $9,445 by Medicare for a knee replacement (CPT 27447), $7,486 less than an inpatient stay at Atlanticare Regional Medical Center - City Campus. Not every patient is a surgery-center candidate.
Medicare paid Atlanticare Regional Medical Center - City Campus less than 50% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.