Long Branch, NJ 07740 · CMS Certification Number 310075. 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 | $20,447 | $67,374 | 3.3× | $13,479 |
| Shoulder replacement | — | — | — | $19,243 |
| Hip replacement after a fracture (DRG 522) | $22,664 | $100,708 | 4.4× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 483 beds
New Jersey has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Monmouth Medical Center an average of $20,447 per inpatient hip or knee replacement stay (MS-DRG 470, 60 stays) and $13,479 per outpatient case (APC 5115, 302 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,374, 3.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Shrewsbury Surgery Center, LLC, an orthopedic surgery center 4.2 mi away, is paid about $9,582 by Medicare for a knee replacement (CPT 27447), $10,865 less than an inpatient stay at Monmouth Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Monmouth Medical Center more than 92% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.