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Monmouth Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,582
Shrewsbury Surgery Center, LLC, 4.2 mi
Outpatient here
$13,479
302 Medicare cases, APC 5115
Inpatient here
$20,447
60 Medicare stays, MS-DRG 470

Medicare prices at Monmouth Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,447$67,3743.3×$13,479
Shoulder replacement———$19,243
Hip replacement after a fracture (DRG 522)$22,664$100,7084.4×—

Quality

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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Questions

How much does Medicare pay Monmouth Medical Center for a knee or hip replacement?

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).

What is Monmouth Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Monmouth Medical Center?

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.

How does Monmouth Medical Center compare with other New Jersey hospitals?

Medicare paid Monmouth Medical Center more than 92% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.