Neptune, NJ 07753 · CMS Certification Number 310073. 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 | $16,775 | $73,354 | 4.4× | $13,825 |
| Shoulder replacement | — | — | — | $18,967 |
| Hip replacement after a fracture (DRG 522) | $18,682 | $110,840 | 5.9× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 596 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Jersey Shore University Medical Center an average of $16,775 per inpatient hip or knee replacement stay (MS-DRG 470, 67 stays) and $13,825 per outpatient case (APC 5115, 239 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,354, 4.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgical Institute, LLC, an orthopedic surgery center same ZIP away, is paid about $9,582 by Medicare for a knee replacement (CPT 27447), $7,193 less than an inpatient stay at Jersey Shore University Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Jersey Shore University Medical Center less than 54% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.