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Jersey Shore University Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,582
Surgical Institute, LLC, same ZIP
Outpatient here
$13,825
239 Medicare cases, APC 5115
Inpatient here
$16,775
67 Medicare stays, MS-DRG 470

Medicare prices at Jersey Shore University Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,775$73,3544.4×$13,825
Shoulder replacement———$18,967
Hip replacement after a fracture (DRG 522)$18,682$110,8405.9×—

Quality

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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Questions

How much does Medicare pay Jersey Shore University Medical Center for a knee or hip replacement?

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).

What is Jersey Shore University Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Jersey Shore University Medical Center?

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.

How does Jersey Shore University Medical Center compare with other New Jersey hospitals?

Medicare paid Jersey Shore University Medical Center less than 54% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.