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Robert Wood Johnson University Hospital Hamilton: what a joint replacement costs

Hamilton, NJ 08690 · CMS Certification Number 310110. 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
$9,144
New Jersey Surgery Center, LLC, 2.2 mi
Outpatient here
$13,648
Medicare allowed amount, 113 cases, APC 5115
Inpatient here
$15,092
Avg total payment (incl. patient share), 32 Medicare stays, MS-DRG 470

Medicare prices at Robert Wood Johnson University Hospital Hamilton

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,092$75,2965.0×$13,648
Shoulder replacement————

Quality

Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 248 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 Robert Wood Johnson University Hospital Hamilton for a knee or hip replacement?

In 2024 the average total payment to Robert Wood Johnson University Hospital Hamilton for an inpatient hip or knee replacement stay was $15,092 (MS-DRG 470, 32 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,648 per outpatient case (APC 5115, 113 cases).

What is Robert Wood Johnson University Hospital Hamilton's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,296, 5.0× the average total payment for a Medicare stay. 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 Robert Wood Johnson University Hospital Hamilton?

Yes for Medicare facility payments. New Jersey Surgery Center, LLC, an orthopedic surgery center 2.2 mi away, is paid about $9,144 by Medicare for a knee replacement (CPT 27447), $5,948 less than an inpatient stay at Robert Wood Johnson University Hospital Hamilton. Not every patient is a surgery-center candidate.

How does Robert Wood Johnson University Hospital Hamilton compare with other New Jersey hospitals?

Robert Wood Johnson University Hospital Hamilton's average total payment per Medicare stay is lower than 92% of the 26 New Jersey hospitals that report inpatient hip or knee replacement.